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Jun 12 20,2 238PM Bosch Electric Inc A253778977 page t <br />i <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />1 3200 CEDAR STREET, EVERETT, WA 98201 <br />4251-257-8810 - FAX 425-257-8857 — www.everattwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />U rid un- <br />PROJECT ADDRESS <br />LfIA PO 9Dx 15- fr7 EMI VeTT- , w-A 182ZI 4Zs30311a-1 <br />Owner Mail Address City SlaletZJp Phone <br />i <br />I <br />Tenant Ku 29 Address City Statemp Phone <br />DSc++ t�zrRtLIh1G; [;�DBDX 1083 Li�g�AA�5NJs-wA 9815 (f2S3gj- 7§ <br />Electrical Contractor Mail Address City StateZp Phone <br />P oSGf + +✓ 'L9� 3 Q.00 <br />State License Numi3er Contract Price of Work <br />_ MF� <br />Proposed Use of Building Contact Person (Plan Review) <br />Deealpeon of Work to De Done: t.EC,-I-P-LC.)r-1. u-G p—AtrE <br />Wlnh — 110 52YV!cl <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. J <br />CITY OF EVERETT LOCAL SALES T, X CODE IS 31 D5 <br />I hereby certify that I have rend and ox mined this application and know the same to be true and (� l Z O L <br />correct. All provisions of laws end ordinances governing this type of work tvifl be cornp/eted L� l t <br />whothorspe6fied herein or not. The g, nfing of a permit does not ppresume to give eathorityto <br />violate or cancel the provisions of any Pther state or local low reguJeting conshUclidn or the <br />performance of construction. That I air; authorized by the owner of this property to perform the <br />work for which application is mode and I comply with the State Contractors Law 18.27 RCLtr and <br />296.200 WAC. <br />Signature I Dam <br />