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Mar 07 2016 10:18AM Bosch Electric Inc. 4253778977 page 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> PROJECT ADDRESS <br /> AAarq D tp,� <br /> arifiad I krma t,, bAc6f Gb/t #50 'F'Uer?* Wit .figW I i/zE. 30L. �01S <br /> Owner Mail Address City Statelzip Phone <br /> Tenant Mail Address City Stateop Phone <br /> Electrical Contractor Mail Address City Stateop Phone <br /> "M <br /> ev <br /> State License Numb '------- <br /> cc er Contract Price of Work <br /> J� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> / <br /> Description of Work to Big CA <br /> Done: L+00 ,, Se. <br /> (01� -r OLO <br /> NOTE: WIRING 1N NON-DWELLINGS IS REQUIRED TO FEE <br /> BE 1N RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3905 <br /> I hemby certify that l he read and examined this application and know the same to be true and uo <br /> �� ti'� /� <br /> correct. A#provisions oflaws and ordinances governing this type Of work wf11 be completed v <br /> wheth®r specified herein or not. The granting of a permit does not presume to give authority to <br /> violate or cancel the pprovisions of any other state or local Jaw regtrlpating construction or the <br /> performance of construction. That!am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with fhe State Contractors Law 98.27 RCW and <br /> 296.200 WRC. <br /> igna re ' <br /> ce <br />