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09/23/2008 09:53 4253778977 BOSCH ELECTRIC INC PAGE 01/01 <br />ELECTRICAL PERM6T APPLICATION <br />CITY OF EVERETT PERMIT SERVICES p <br />3200 CEpAR STREET, EVEF2ETf, WA 98201 /� a3 `O � <br />425-257-8810 - FAX 425-257-8857 — www.everetiwa.org CY D'�D�I—I �(7 <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�51�( Locusfi <br />PROJECT AODRESS. <br />��,-. N e�� <br />yz�• <br />_�[-I�A- a? I 5 ( S�` Sfi �ve rc ti" i.t� q 8 zo � S`o8. (� 3� D <br />Owner � Mail Addmss City � Slare/Z�p Phone <br />Tenant <br />Mall Adaress <br />Clty <br />Statetip <br />Phone <br />�LS. ,�j 77, <br />��S�l� �l�ctt'�� .Ttiw �ap #�� IG�3 l-a,ke. cSfe�eKS WA qBZSS S'7c�s' <br />Electrical Contractor r.�a�t Aamoss c�ty S�ate2ip Pllon9 <br />��scrtEZ��3 Qi <br />State License Numher —� <br />��(Z <br />Proposed Uso of Building <br />Descriptlono(WorktoBeDone: G��fiYl�Gti.( �,L.����Y6Cc.�Q_. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R4CEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contract Prlce of Wprk <br />COntad Percon (Plan Revlew) <br />FEE <br />f hemby cartify that I have read and ea�aminetl thls applicatien and know the same to be trva and <br />correct. All provisions ef laws and ordinences goveming fhls type o( work will 6e complefed <br />�vhethei sp2clGed herein or net. The grar,tlng of a pemnf doas net� resume fo pive authonfy ;o <br />vioisfe or cance/ the provisions of ony ufher state ar lecal !aw regu/ating construcflon or the � <br />pwoi��!o awh ch appllc�oii�s�mede anu�l cotmp/y with (he 57eie Co frac crs�Law �8 27 RCW end <br />296.200 WAC. � <br />9—a-3 0� <br />� v <br />, �'� -/1-/ <br />