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Aug 29 201� 10:57AM Bosch Electric [nS 1253778977 <br />page 1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �_� �_, .Z <br />3204 CEOAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —wHr,v.everariwa.org �; 1'�Og "� a-� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREOIT CAROS ARE NOT ACCEPTED <br />g3�- Locu,s�' <br />PROJECT ADORESS <br />�N <br />owner <br />Tenant <br />Electrical Contractor <br />Mail AdCmss <br />Mall Atltlress <br />�G. t�0$ l0 i <br />Ma0 Address <br />�bSCI-1�LL�la3 C(�T <br />State Ucense Number <br />Nl F� <br />Proposed Use of Bulltling <br />Desaiptton of Work fo ee �one: <br />ere{'i", VJ A <br />City <br />L.e.� <br />JOTE: WIRING IIV NON-��NELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />:ITY OF EVERETT LOCAL SALES TAX CODE IS 31 �5 <br />he�eby cerlily fhet I have resd anU examined fhJs applic: <br />76. <br />� <br />City <br />9s2o1 yas.3o3. ►!al <br />Slate2ip <br />State/Zip <br />��.�s258 �lLs.3a7.8� <br />Stale/ZiP <br />and know the same to <br />�f -rj aoo °D <br />Contract PAce of Work <br />Cantact Persan (Plan Review) <br />FEE <br />�-�� 50 <br />� <br />and � I ZV O" I ZG'� <br />to <br />and <br />Phone <br />Phrne <br />Phane <br />