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1�/30/2007 13:54 4253778977 BOSCFI ELECTRIC INC PAGE �2/04 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.evarettwa.org <br /> APpLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ,/-��. <br /> � I I 3� I�q.ih,e. Fi elcl (,U� Ll«i�-� <br /> PROJECT ADDRESS �._— <br /> Col���l� sicre �t-it�cs� I�►o I-�a�"Q�C !�. (-ca�nu,�ivc�,cv�• �.7�.z2�.�!7&� <br /> Owner tVtan Addmss City Stetc2lp Phone <br /> Tenant Mail Addre6e City SUte2ip Phorle <br /> �s��� � lerh,�.ZNc. '►� �o�c �08' 3 Lk S-}�u�cns t.c�� g�'zsg � zs.397 81l�S <br /> Elactrictal Contractor Meii qddress Uty Stete/Zip Phone <br /> �3os� l�,e i aa 3 C`�' <br /> Stato License Numbgr Contra�ti Pdce of Wotic <br /> �'rl� <br /> Propo58d UsB of DuildinB Contact Person (Plan Revlew) <br /> Description of Work to l3e oono: Ll.�ln� ���7.1-��1� � f�`lpw/�_l�U7,f.l�/�1 /�(� _ <br /> / f — <br /> NOTE� WIRING iN NON-DWELLINGS IS REQUIRED TO FCE <br /> BE IN RACEWAYS, MC OR AC CADLE. <br /> GITY OF EVERETT LOCAL SALES TAX COD[IS 3105 <br /> I hereby coRlry tha�I hov�road anU examined this aPP���tion snd know the snme m 6e fnie and <br /> CartecL AI!pn7Ns�on9 0(lawvs and oMinances gpveming fhis typa ol work wil!be comp/BtE� <br /> wh�tther specilieU hCrein or nOL Tha granting of a pr.miR does not prxsume to p/ve euthonty to <br /> violoto or cancel lhe provl5ion.,of any o(her sfa�e or locel lew reAula�ing construction or tlte <br /> pertomianr.e olconstrvction. 7bat I om auth,o�{zed by ihe ownor o/fhis property to peiform the <br /> wo�k/or whi4r epplicafron rt n�ade and I compl�•witb fhe St3te Contraclors Lew 1F.2712CW and <br /> 25fi.200 WAC. <br /> �� �. �1 _ l� � 30 -o � <br /> �yre ' oa� ? � <br /> �.J � <br /> I <br />