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Jun 03 2014 10:11AM Bosch �ectnc Inc 4253778977 <br />paye 1 <br />ELECTRICAL PELRIVIIT APPLICATlON <br />CITY OF EVERETT PERMIT SERVICES �..7--►c� <br />3200 CEbAR STREET, EVERETT, WA 98201 �� D 6—D I� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org �{ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARpS ARE NOT ACCEPTEb <br />PROJECT ADORESS <br />IyLOVd,� <br />Owner <br />renarrt <br />vtr�t-�-Mal,( <br />300) <br />�e j�. Ev e�e fi-l-� U-��r `ai S 2v S <br />�` G-S� F,3nt�.�� l� w�{ _� 80 a 1 <br />. Mall AdCreee <br />L uec�FiZ �-o�.»-¢.4c.re�2 �NC . <br />I350 PA�ft{C �q�1 . Conn�lr <br />Mali Addrese <br />�sc H EU <br />Electr+al Contrach�r <br />►JC. � PD ��vx 10; <br />Malt Addrnss <br />8o�c. H ��� q 3�r <br />State Lfeanse Number <br />G�MIV���GC�i'L. <br />Proposed Use of Building <br />Descrlptbn of WoAc to 0e Dona: <br />ciry <br />M 1.'{8 <br />Gry <br />�� c <br />ciry <br />State/Zip <br />248. `78R.5'T <br />StatelZJp <br />�s, �,w 9� zs8 <br />Slate/ZJp <br />Phone <br />Phone <br />`f as. 3g�. <br />Phon: <br />��o, G�D"' <br />Contract Price of Work <br />�_k317Sc k1 '� z�. �('L�- �( lin g <br />Contact Person (Plan Revlew) <br />NOTE: WIRINC, IN NON-OWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR;4C CAOLE. <br />CITY OF EVERETT LQCAL SALES TAX CO�E IS 3105 <br />FEE <br />?I`f0 •Oa <br />I here6ycertify thaf I heve read and examined Utfs appllcellon and know the same fo be We and � I l�D Jn ��'Q <br />conecf. Al/ provlSlons of laws and ordlnances goveming this type ol work will be completed �v � <br />whetherspeclfied heisin o� noL The gren(ing af e pamrf does nof presume to glve euthorrt/ !o <br />vldata or cancel fhe provisions ol any other stefe orfocallaw reguletinB ='orlstrucGon or tAe <br />wvrk�% ewhic.5 epp� �a��s mede and le m�ply�vilh fhe 6(ate ConUacfoBpLew 18.27 RCW end <br />288.200 WAC. <br />