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0�t, 7. 2�16 12 ; 53PN1 U�, 3956 P, '. <br /> ELECTRICAL PERMIT APPi�MCATION <br /> CITY OF EVERETT PERiVi1T SERVICES <br /> 3200 CEDAR STREET, �V�RETT, WA 98201 <br /> 425-257-881� - �AX 425-257-8857—www.everettwa.org <br /> � � �,,�.ti� 1�e. sv��-� �� <br /> � �;1�..�hr�� �K. _ w� c�c.� cM ��ct�— <br /> — �-C <br /> PROJECT ADDRESS <br /> < ��.)—�-F(e` <br /> �Ov�n� ����' �Ut-1 h�l�,rn(na� ��f� �;EF '� 7�� � � Z� <br /> Owner Mail Addfess City State/Zip Phone <br /> Tenant Mail Address Clty State/Zip Phone <br /> G&S HEATING 3409 EVERETT AVE �VERETT, WA 98201 425-252-4402 <br /> EleCtriCal ContraCtor Mail Address Ciry State/Zip Phone <br /> GSSHTGSH939RK 019685 <br /> State Llcense Number(required) City of Everett Business LiCense Num6er(required) <br /> RESIDEN7IAL <br /> Proposed Use of Building Contract Price of Work <br /> DAWN WEIMER 425-252-4402 <br /> 5quare Footage (If residential new ConStrUCtion, remodel or addition) Contact PersOn/Conkacf Number/Email <br /> Number of devices (lf low voltage) <br /> Description of Work to Be Done: ������l�� �y}�,l CQ- <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX COD�IS 3105 �'�'�� __ _ _— -----�--�-_ <br /> I hereby certlfy that/have reed end examined this applicatior7 and know the same fo be fnle and <br /> correct. All provis�ons Rflaws and ordinances goveming fhis fypE of work will be complefed <br /> whetherspecified herein ornot. The granting ofa pem�if does not presume fo give autHorify fo PERMIT# <br /> vio/ate or cance!the provisions of any ofhe�sfate or loca!law regulafing construction or the �� <br /> performance of construction. That I am authorized by fhe owner of this properfy to perform the E ��� � .- � � "�V� <br /> work for which appllCati n is made and I com ply wifh the Stafe Confractors L8w 98.27 RCW and <br /> 296.200 WAC. � .L_, <br /> (�)�� �I�v <br /> Slgnature Date <br /> REVISED 08/OB/2o94 <br />