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11/20/2007 12:18 4253776977 BOSCH ELECTP.IC INC PAGE 02/02 <br />ELECTRlCAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 _ -- <br />425-257-8610 - FAX 425-257-8857 - www.everettwa.org � <br />APPLICATIONS ARE ACGEPTED FROM B AM TO d pM <br />g2 � Lt 4�t-. <br />PROJECT A�DRESS <br />�I-�� ���5 �5'� �Si' �ve�c!-+ l,t�A g8201 �/zS 303. I IZ! <br />Uwnor MnilAddresc Ciy 5tete2lp Phonc <br />Tenont <br />Mall Address <br />� l.eC4�'z'c, J,1� i'a P��x <br />ElectricalConlractpr MeilAddmas <br />P�sct-t �-��ia � Ql' <br />Stote License Numbor <br />��� <br />Proposed Use of Bwlding <br />City <br />�1.►��. S{t v c� <br />Ciry <br />Dascdppon of Work 10 Be Done: w(��-1�j� LU'U ��n�E <br />NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MG OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAl( CODE IS 9106 <br />1 heroby cedily thst I hava rend <br />correct. A/l prov/slons ollaws c <br />wheffrer specrlred haroln or not. <br />via/ato o� concel fhe provlsions <br />perlormr�nceo/constniction. T� <br />woik (or which applicofron is ma <br />?96.200 WAC. <br />SWIe/Tip <br />��S lo � <br />S121e/Zlp <br />Phone <br />�Fis3''!7 71�� <br />Phone <br />ContreM Prica of Work <br />Contact Porson (plan Raview) <br />this application and know fhe snme to be tnie end <br />�oveminQ (h1s fy po o/ wak wlll be rnmp/eted <br />�IQ pertmf does nof piesumo fo givo authonty to <br />comply <br />Ond <br />FEE <br />� �a+� <br />