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Feb, 14, 2017_ 9: OlAM No, 4844 P. 2 <br /> ELECTRiCAL �PERM�T APP�.�C�TION <br /> CITY OF EVERETT �ERMVIIT S�RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-88�0 - FAX 425-257-$857—www.everektwa_org <br /> —(o�2� - ��s� � �p� . <br /> PROJ�CT ADDRESS <br /> �� ��Gr�i f��v+^S �i�,��6� � �� � <br /> Owner Mail Address � City Stafe2ip P11one <br /> Tenant Mail Address ' Clty State/Zip Phone <br /> G&S HEA,TlNG 3409 �V�RETT AVE EVERETT, WA 98201 42�-252-4402 <br /> Elecfrical Contractor Mail Address City State/ZIp Phone <br /> GSSHTGSH939RK � 019685 <br /> State License Number(required) Gity of Everett Business License Number(required) <br /> RESIDENTIAL "�� <br /> Proposed UsE of Building Contract Price of Work <br /> DAWN WEIMER 425-252,4402 <br /> Square Footage{If residential new construction, remodel or addition) Contact Person/Contact NumbedEmail <br /> Number of devices(If low voltage) <br /> Description o'FWorkto Be Done: �� '��'�. y 1��� ,� ,n, "A n �—r.�i�no �,� i� nr.�ilns2 <br /> e <br /> _ (� �l. �r1ir6',1/�V:: �!� � ,�c�i�1n���. .�l�t,'�1+1� " "%h, ��f� ��"-{"� <br /> FEE <br /> C[TY OF EVEREl'T LOCAL SALES 7AX CODE fS 3'105 � �_ <br /> l herieby certify that 1 have read and sxamined this 8ppliCation and know the same to be frue and � <br /> carr�ct. All provisions of laws and ordinances goveming this typr�of work w1/1 be complefed <br /> whether speCl�ed herein or not. The granting of e permit does not presume to give authority fo PERMIT# <br /> violate or cancel ths provisions of any ather sfate or local Isw regulating consfruction or the ��� , � ( <br /> performance of construcbon. Thaf I am aufhorizad by the ow»e�of this properfy to perfom�fhe E O � <br /> work for which applicafion is made and!comply with the State Confracfors Law 78.27 RCW and <br /> 296.200 WAC. ' <br /> � <br /> Sign re Da e <br /> REVlSED 0��2074 <br />