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Feb, 15, 2017_12: 56PM No. 4872—P, 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> � Cf�'Y OF �V�R�TT pERlVlI�" S��'V'IC�S <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-88'[0 - �AX 425-257-8857—www.everettwa.org <br /> ���� F�,� �i�e.- <br /> PROJECT ADDRESS � <br /> �i r�� �-C U�t �j�� ���''� `���1�✓la.�" `�2�"�y' ��`�� <br /> OWner Mail Address City State2ip Phone <br /> Tenant Mail Address Cily State/Zip Phone <br /> G&S HEATING 340.9 EVERETT AVE �VER�TT, WA 98201 425-252-4402' <br /> Electrical Cantractor Mall Address Ctry State2lp Phane <br /> GSSNTGSH939RK 019685 <br /> State License Number(required} City of Everett Business License Number(required) <br /> �— <br /> RESIDENTIAL <br /> Proposed Use of Building Contract Price of Work <br /> DAWN WEIIVI�I� 425-252-4402 <br /> Square Faotage(Ii residential new construction, remodel or addition) Contact Persan/Con#act Number/Ema31 <br /> Number of devices(If low voltage) <br /> Descript9on af Work to Be Dane: `��-Q. <br /> FEE <br /> CITY OF EVER�TT LOCAL SALES TAX CODE IS 31os �� �-- <br /> /hereby cerfify that I have r�ad and examined this application and know the same to be true and <br /> correct. A►!provlsions oflaws and ordinances goveming this type of work will be completed , :: .. , <br /> whefher specified herein ar not. The granfing of a permif does not presume fo give�uthority to P�RM1T# <br /> violate or cancel the provisions of any ofher state or/ocal law regulafing canstruction or the <br /> performance of constrvction. That I am authorized by the owner of fhis property to perform the E ��2 ._ �� ( <br /> work for whic�appliCatioR ls made and I comply with the Stafe Confracfors Law�8.27 RCW and <br /> 2ss.aoo WAC. <br /> . �� I�.I�� <br /> Signature Date <br /> RevrsFo oe�venora <br />