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08/05/2008 13:13 4253778977 BOSCH ELECTRIC INC PAGE 01/B1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERE7T PERMIT SERVICES �_8�g <br />3200 CEDAR STREET, EVERETT, WA 98201 ,/� <br />425-257-8810 - FAX 425-257-8857 - www.everetriva.org �- dZSO �� 01 6 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CA12DS ARE NOT ACCEPTED <br />��( L�c�s�i- --���,.�. <br />PROJECT ADpRESS <br />��+-FA- �-�[� �S��S�-. ��trc�r� , wA� qSznl ��' ho3. iia-1 <br />OwnBt Mail Address Clty � SUte/Zip Phone <br />Tenant A1ailAddress City StatrlLp Phone <br />3�s�t� �E[ect�i� .'l�c.. PO ga�. l�83 La[zc Sf'eu�t�-s, lti�� �lgLs� ����a <br />EIeCVlcal Coniractor Mail Addrpsg Gry State2ip � Phone <br />�j'IiSC�{ Ei-aa3 Q'( <br />Stafe license Number <br />� �� <br />Propased Use of Building � <br />DescripUon ofWark to Be Done: �i ��) � <br />NOTE; W IRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN IZ4CEWAYS, MC OR AC CABLE. <br />CIIY OF EVERETT LOCAI. SALES TAX CODE IS 3105 <br />Contract Pnce ot <br />Contact Person (Plan Review) <br />! hereby certi(y that 1 have resd and examined tf�is application and know the Same to be hue end <br />correct. All provisions ollaws and ordinances govern/ng this fype of werk vAll tle camp/etetl <br />whether specified herein or not. The granting of a perm�t does not presuma to give authority to <br />vlolate or cancel rhe provlsions of any other stare or locel law regu/atlng construcdon or tha <br />peAormance of consWcUon. That ! am authonzed by the owner oI this property fo perlorm the <br />work fo� �vhich applicntion is mede snd I comply with the SfatO Confr9Cters Law 18.27 RCW and <br />296.200 bYAC. <br />� �� <br />FEE <br />�� ��� -O I lo <br />