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02/01/2007 14:47 4253778977 BOSCH ELECTRIC INC PAGE 02/02 <br /> ,� � <br /> � <br /> ELECTRIC/�!L PERMIT APPL.ICATI4N <br /> CITY OF EVERETT PERMIT SERViCES a_�-o7 ') <br /> 32W CEDAR S1�REET, EVERET7, WA 98201 � �-�D Z ..Q71S <br /> 425-2b7-8810 - FAX 425-257-88b7—www.everettwa.org C <br /> APALICA710NS ARE ACCEPTED FROM17 8 AM Td 4 PM -DEBIT&CREDIT CARDS ARE NOT ACCEPTEp <br /> I �.al Nev�r�loci�- ___.__ <br /> PROJHCT ADDRESS <br /> �/T 2 I� ,l �JTM�i�� GV��Q11 V..�fT ���JZf.7 � �Z� '3n�. �� Z� <br /> Owner Mail Address Giy SlateZP vhone <br /> Tenant �1ailAddress Cip� SWIeJZp F'tionc <br /> �r,� E�g�tv�c��� � �u�C 10$3 �k-2cSi"evCuiS u,�f� ��dZS$ S�zS, 3�T�, <br /> ElectricalConVacWr MaIIAJdress City Slala/Z�v 4�M9n� <br /> 0 ►�F <br /> �osct�Fiqa3 ar <br /> State Ucense Number Contract Price of Work <br /> Proposed�uflding ��'��" Cont�ct Person (P;a�Review) � <br /> �exripfion of Work Ip De�one: �� —�I��e Jf� <br /> NOTE: INIRING IN NON-DWELLINGS IS REQUIRED TO FEF. <br /> BE IN FAGEWAYS, MC OR AC CABLE. �J rp <br /> .__. ..—•---..__..._... .. _. ..— <br /> CI7Y OF EVEFETT LOCAL SALES TAX CODE IS 3105 <br /> !he�eby cer(t!y that!'nave read and ezamined this applicatlon and know the same to be true and <br /> carect. Alf provisfons ol laws and ordinancas governing Uris fype o!work wdl pe cvmplafed f—�'Z UZ—��J <br /> whather sRec7�atl hereln er not. The granOng of a pernuf does nofpre sums to give aufhority to <br /> vlolafe orcance/the provlsions oJeny other stafe orlocal law reguls6ng conslru�Wn or the <br /> performance of consln�c(ion. rhat f am au(horrzed by the owner o(fhls property fo peNorm the <br /> wo�ir/or whk;h ap(�l/r.ellnn is mnde.nd!cnmpl}�wi�h tlre Sate Conhacfors Low P82>RCW a�d <br /> 296.200 WAC. :.,� <br /> �,: <br /> '� _ ., a�.o� <br /> , Oate <br />