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04/13/2009 08:19 4253776977 BOSCH ELECTRIC IIJC PAGE 01/01 <br />— �_ �.- <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �� _, ._- ; <br />3200 CEDAR STREET, EVERETT, WA 88201 ,. ��� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org � ` " <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM - DE61T 8 CREDI'� CARDS ARE NOT ACCEPTED <br />B3�v 1,OCu5� <br />PROJECT ADDRESS <br />��+� z-�is is� Sr �r �Err, wa. 9g2ci yLs ��3.�� Li <br />Ownef Mail Atldress City . Slate2ip PAone <br />Tenant <br />YJG�Gi 1 �L <br />El6ctrical Contractor <br />Boscrt��R��3Qr <br />Srate License Number <br />MF(L <br />Proposed Uee of Building <br />Mail Addre59 <br />Mail ACtlress <br />City <br />CiC/ <br />Doseription oiWorlc to Be Dona: ��iii��L�L L(,��-���b� <br />NOTE: WIRING IN NON-DWELLINGS IS RF_QUIRED TO <br />BE IN RACEWAYS, MC OR AC CqBLE. <br />CITY OF EV[RE77 LOCAL SALES TAX COOE IS 3105 <br />co�erec�fy 1�/%prowsaons ot a�v� anU ord/nances go�yom/nfgaryis type olnwork wi/l be con <br />whefher speci�ed herein oi nct. The granling o( a permrt does not presume to glve a <br />violate o� csnce! fhe rovisrons of any cther steta or Iccal /aw requ/a(ing construct/on <br />pedoimance cf consPruction. That I am authonzed by the owner �/ rhis ropert to e <br />�vork fcr which applica:ion is mdde and ! comply wlth (he Slafe Confh�C O�S L3w 18.2, <br />236.200 WAC. <br />'�- 13 -� <br />State/ZIp <br />Stale2lp <br />Contract Pdce of Work <br />Ccntact Pe�son {Plan Review) <br />and <br />to <br />and <br />FEE <br />Phw18 <br />Phone <br />