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Jun. 19. 2017 10 : 12AM law No. 5460 P. 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 FAX 425-2578857--www.everettwa.org <br /> PROJECT ADDRESS <br /> Vaow , <br /> Owner Mall Address U City State/Zip Phone <br /> S nl YyL� (k-C <br /> Tenant Mail Address City StatelZlp Phone <br /> G&S HEATING 3409 EVERETT AVE EVERETT, WA 98201 -- 425-252-4402 <br /> Electrical Contractor Mall Address Clty Sta e/Zip <br /> Phone <br /> GSSHTGSH939RK 019685 <br /> State License Number(required) Cityof Everett Busin ss License Number(required) <br /> RESIDENTIAL _ <br /> Proposed Use of building Contract of Work <br /> q,3L/-) DAWN WEIMER 425-252-4402 <br /> Square f=ootage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done, 5uyi � so 2111--iP C. - <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �— S <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the E <br /> performance of construction. That I am authorized by the ownor of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Sig ire Date <br /> REVISED 08/06/2014 <br />