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Mar 11 2016 10:44AM Bosch Electric Inc. 4253778977 page 2 <br /> 0 40 -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 /> PROJECT ADDRESS <br /> cjZS.�L32 , <br /> SS /L�6ra SPS g� l(o �`d �� ne IV1a-��s_oW , Ih� qV 70 q-71)8 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address city Stats/Zip Phone <br /> &5ZL eLtd -tt 1 1,C PVB t CQ?5 3'!7 s'7( <br /> Electrical Contractor Mail Address City StateiZip Phone <br /> !!3C tfELq g-7 0 r--- J S-OT. z-7) <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addltlon) <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: roo <br /> I <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that i have read and examined this application and know the same to be true and �1 <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether spocified heroin or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That l am authorized by the owner of this property to perform the D � <br /> worts for which application is made and/comply with the State Contractors Law 18,27 RCW and <br /> 296.200 WAC, <br /> Sio re 1 Dat <br /> REVISED Wall <br />