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02/09/2011 10:32 4253778977 BOSCH ELECTRIC INC PAGE 01/01 <br />� c <br />ELEGTRICAL PERMIT APPLICATION <br />GlTY OF EVERETl' PERMIT S�ERVICES <br />3200 CEdAR STREET, EVEREfT, WA 98201 <br />425-257-8810 - FAX 42&257-8857 — www.everettwa.org <br />a-�--�, <br />EI ra 2--034 <br />APPLICATION S ARE ACGEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEP7ED <br />6 S�I L o cu�-f— <br />PROJECT ADDRESS <br />�N � a� l s t s'� st �,��r-r vJ,�- �g�o l N�3o3 � � a-t <br />ONTIer Mail Address City Stete/'Llp Phone <br />Tenant <br />Mdfl Add�n�e <br />pty <br />StatdZJp <br />Phone <br />�scrt � �c, lt��. �t� tDB� ��'c S�v�t.ls,w,h�$2s� 4zs3a787�S <br />EIBChiC21 C,onh2GWr Mail Nidtasa City SmefLp Plwna <br />��cfi Eiq�aQr <br />St�te License Number <br />��� <br />Proposed Use of Buildine � <br />DescripUon of Work to Be Done: L✓�� F--��-'�L L�IP�"t��� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE, <br />CITY OF EYERETT LOCAL SALES TAX CODE IS 3105 <br />Contract Pr1ce of Work <br />Confact Per�on (Plan Review) <br />1 hereby oerfify thet 1 have read and examined thls applicaUon and knowlAr same to be We and <br />coirect Al! prov/sions of faws and ordinences govemMq mla type of wiork w�tf ba comp(eted <br />whethe� specified heiein w not. The grenring of a permd does no!Aresume to yive authori� to <br />vlNafeorcencelthm provisionsofanyatherstateorfocallewregulatingconstn�ctlrnorfhe <br />parfp�18nce a(constructlon. Thet ! am authaized by the owner ol fh�s prope�fy�pg�/p��ye <br />work for which applioaHon is made aad ! comply with the Steta Gantradors Cpw 18. Z7 /;CW antl <br />296.200 WAC. <br />FEE <br />���,�39 <br />l <br />