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11/03/2015 16: 31 3602779474 PHILLIPS SON ELECTR PAGE 02 <br /> ELECTRICAL, PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 428-257»8857-W www.everettwa.gov <br /> PROJECT ADDRESS <br /> 4as r§qA <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> �►` ` V � aVA� r W a cim-.g 3 ID-d�S 41 <br /> Electrical Contractor Mail Address City StatetzIp Phone <br /> «W-SFtiS.S- -(r _ bS�F��I�- <br /> State License Number(required) City of Everett Business License Number(required) <br /> $ w & l tC,3.b0 <br /> Prwasn Use of BuildiM Contract Price of Work <br /> Square Footage(If residential new construction, remodel or addition) Contac erson/ ntact Number/Email <br /> n1too <br /> 5iG�`�sn�h. G0�l1►� <br /> Numbor of devices (If low voltage) <br /> Description of Work to Be Done:1 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this application and know the some 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 PERMI'TI# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this property to perform the E 2—Gwork for which application is made and I comply wfth the State Contractors Law 98.27 RCW and <br /> 296.200 WAC. <br /> 5lgnature � � D`t `� .S <br />