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�3/il/2G08 1�:46 425377E977 BOSCH E�ECTP.IC INC PAGE 01/�1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-Od10 - FAX A25�57-6857—www.everettwa.org <br /> APPLICA710NS ARE ACCEPTED FRO�A 0 AM TO 4 PM <br /> � � � Z So ��t�n e. 1" i e �� �'�� � C� <br /> PROJECT/1DDRE3S <br /> _�rrs�� k,�n/Alt' 131a �; LK SH�rt Dr- Lalu Stc �e��s t.()A �f�-?S� �QGyo�'1a1,3 <br /> o�,n n�n nax�ss c�y s�wzro � <br /> T0n0nf MaA MCnss City SWId21p Phune <br /> �vsct� eltct�'���^� 1'b BbX Ic�3 Lal�eS���z`�s, �vA �$Z�B U2�3�1� 87�a_s <br /> EIe�Oiml Con�rar.for Meil Atldmes City SutefZ�p P� <br /> $�OSChI �s9`�3 QT - <br /> 3:ate Ltccnse Numbor ConUacl Pricc oF Work <br /> Ptopo9ed��BUIIdiOy GO�lap Person (Plan Review) <br /> Description of Work lo Bo Done: <br /> Vv irL ✓lCvtl V1��5-Q a �� � S� <br /> NO7[: WIRINO IN NON-DWELUNGS IS R[QUlR6D TO FE� <br /> BE IN RAC[WAYS, MC OR AC CAqLE. �O c� <br /> CITY OF EV[RETT IOCAL 9ALE3 TAX CODE IS 3105 <br /> 1 hereby ceKNy 11��1 1 fwm nrnd nnAexemirMd[hts t�plkation and hnow tho same to be trt�e and � . ��j� <br /> cortect. All p�ov�srons ollaws end nrolnances gov�ming this rypa o�woB w0!bs complered �C�L 3 , <br /> whwUter apuc�0od herein or naL The gronfiny af n pnmil!does no( m.sume fo give eutAonty to <br /> vblalo w cancel tho pro�sions o!any otMr atete or locnl low reguPfiny conSYn�cflon��e me <br /> perfirmanco�/constnrction. Thef 1 em aufhorizod.6y M�e owner o/tlrls proporfy t0 pe . <br /> work te�which npplicnUon is ma�u an0 I compfy wrth Ure Sfeie Contrectors taw 78.27 RCW and <br /> 28G.200 WAC. - . <br /> ��—_` �,�-.l� �J'�l�'�IJ <br /> ��,�J o�,� <br /> ; <br /> i ` <br />