Laserfiche WebLink
07/13/2009 10:13 4253776977 BOSCH ELECTRIC INC PA6E �1/02 <br />ELECTRICAL PERMIT APPLiCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-3857 —Hnvw.everettwa.org <br />7 �� 3--�i <br />E09o�-r�(� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTELI <br />� Lihdevt. <br />PROJ ECT ADDRESS <br />�rra� �-��� ������- ����„�,-r, w�. gszoi �zs. �v3. ��a� <br />05Ynef Mail Address City Stale.2ip Pho.�e <br />Tenant <br />Nail AtldreSs <br />Giry <br />SlateRip <br />Phcno <br />�?�as�H ��c.re �c .��c. �o e,7„� icP.� �RkE�St�ver.is,w�_48zs� _yas�ti���S <br />Eloctrical ContraCtor Mall Address Ciry Slatc/Zp Phcne <br />t�s�-, �x �tR3 c�-r- <br />Stale Liconse Nurnher <br />5�1=� <br />Proposad Use of 8uilding <br />Description ot work to Be oone: �'�'�-��--t �L l,� f7C �-•�'�?'E <br />Contract Price of Work <br />Contact Person (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />8E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVC-RETT LOCAL SALES TAX COpE IS 3105 ' I <br />I hereby certify that 1 have �ecd and exa�rined this applicatien and know (he samo to 6e fnie and ��- .U�cl �' �,�`7,�j <br />corrocL All piovisicns ollaws and ordinances govarmny this type o/ wor'�'rvill he comp/eted <br />whefher specilied hemin or nUt. � he gmnting oI a permd dous not pr�sume to give aufhority fo <br />elolafe o� cance/ the provisions or eny uther sfate or focal law regu(etiny construction or the <br />perfO�nlatice ef consirucfion. That l am authoiizsd by ihe cwner ot }his prepeRy to per/o�m fhe <br />wo�k Icr �vhich app�icsflen is made and I comply �vdh the S(e(e Confr�ctors La�v 18.2; ,4CW end <br />29ti.200 WAC. <br />3� <br />