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,);�::��:��;��!11 1a: 6.: a:5;;".:��% BOSCH ELECTRIC II�IC PAGE Ol/01 <br /> ��E�TRICA� ['��tiV�IT AP6�LlCA`�{C�N <br /> Gl�d'V C�F EVERETT PcP.11lflT SER�ifCES <br /> 3200 CEDAR STREET, E✓ERE7"i, WA 98201 <br /> 425-267-8810 - FAX 425-257-3857—�nM�vd.everettwa.org <br /> APPL;CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT &CREOIT CARD5 ARE N07 ACCEPTED <br /> I <br /> I 7iZL' I�GLc2� <br /> PROJECT A�DRESS <br /> , ��-a a--� � s �� s� F����-r-i wA- . q�zo� `{ZS" 3Q� (14� g <br /> � Owner Mail Address Cih� SloteiZip Pbone <br /> Tenant Mail Address City fitalefZip Phone <br /> {�(�sc�4 C�,e-c,-�u-.�i.DC, (P� P,son�tC��3l.� �e S�ve����t,v�4 . `I�ZS� �a_�� <br /> Electrical C:onlractor Mai!Address City siatelZip Phrne <br /> t3�D�c - ;�-`t�3Q.�- <br /> State License Number Contract Prica vf WorY. <br /> G�', <br /> Proposed Use ot Bulldin� Coniact Person (Plan Review) <br /> Oescription of Work to �e Done: k'n�_/L�(— � � �-C� w�� f S l.L��CJ�L'_f' 'j�LPJ(`j V� <br /> _ . ��(� SF f �IeG-�`✓7Ga� L����c-� e 1 <br /> NOTE: 4VIRING IN NON-DWELLINGS IS REQUIRED l O FCE <br /> OE IN I2ACEWAYS, MG OR AC CABLE. <br /> CITY OF CVERE77 I_OCAL SALES TN(CO�E IS 3101 <br /> �� 1 herebv ccrtily fh�371 have re�d and examinedlhis opp/rcatfon and/cnow the san�o to be we and <br /> r.onecL A!I p�ovrsions oI laws and ordinances goveminy this lype of�vorK wi�l Oe compla(ptl <br /> whethersped�ed he�ein ornoL The grantinc�ot u pum�d doos not rosumc tu yive authoNy[o <br /> violate or cancel rne Amvisions of any other slafe or local/aw reyuPating consrnrcUon orrhe <br /> nc,iormance o!construction. 77�af I am aufhorizod by:he oWner o(fhis p�opeity to pdriorm th� <br /> nolk i0�1•.'hich;�ppLcation iS�ade and l comply wifh thu Stete Cun(rac[ois La4v 98.2!RCW 3nd � <br /> �Jti.200 bVNC. <br /> � �� �7 � I`�S <br /> c ����. y —a-g �/l l� � <br /> ���r�rid(ute Oetc <br /> �.� <br /> �—_—�_ .._ I <br />