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Jan 29 2073 1221PM Bosch ElecVic Inc 4253778977 <br />page 1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES ,�a9�,3 <br />3200 CEDAR S7REET, EVERETT, WA 98201 C 13b/`.15� <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br />APPLICATIONS ARE ACCEPTEb FROM 8 AM TO 4 PM - DE61T & CREDIT CARDS ARE MOT ACCEPTED <br />g � 8 (—o c..�s r <br />PRO.IECT ADDRESS <br />e <br />Owner <br />� <br />2-� I S l S"''' $}- ��fri tf <br />Mail Addross <br />Cfty <br />SlatrJ7�p <br />�{ tC. 3 03. !f 3- <br />Phone <br />Tenaf7t Mall P,Ctltess Ciry StatelZip Phono <br />,Sc�, �[��f��� ��� Pn gax 10�3 La.��e S�'����s ,���gas8 �f��3��- 8�� s <br />EleClrical Lantractor Mail Address Cily State/Z(p Phone <br />— ��scNCL�q3c�r <br />State Ucense Number <br />Buple X <br />Proposed se of Building <br />Doacriptlpn of Work ta Bn Done: <br />NOTE: WIRING IN NON-DWELLINrS IS REdUIRED TO <br />BE IN R4CEWAYS, MC OR AC CABLE. <br />�ITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br />Iroreby cerUfy fhat f hev_e read and axamined Uris ano/ic <br />comply <br />L <br />and <br />Conuact Price of Work <br />Contact Person (Plan Review) <br />ne to ee t�ue and <br />3 completeC <br />�lve authority to <br />ctlon arthe <br />'o per/orm the <br />f 8.27 RCW and <br />FEE <br />7� 0� <br />����I —�S� <br />