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O1/26/2009 09:39 4253778977 BOSCH ELECTRIC INC PAGE 01/01 <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,everettwa.org <br />APPI.ICATIONS ARE ACCEPTED FROM B AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />r� �`i� P! Yl �i <br />PROJECT ADDRESS <br />�CH�� �'7! 5 ISi'' �fi �verett, wf!- `�$Lol yzs 303. ii2-I <br />Owner Mail Address City Slate2p PhOne <br />���c•,i,.Eltcfi►�i�Z..,� 1�0 �Ox 10$3 l,�c.I�e..Si-rvcatSs�nl%E �$Z�`3 `f`ZS3�?Z87(oS <br />EleCtriCal COqtfaCtor Mail Address Clry State2lp Phone <br />gOsri-lr i �3�13 C�T" <br />State Llcense Number <br />M F�. <br />Proposed Uso of Buildinp <br />�IL� I ✓�����Gt.da. <br />WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />1 hereby cerlify thst 1 hsve read and exemined fhis application and know the same to 6e true �nd <br />conacr. Alr prov/sions oflaws and oralnances povemh�g qus type o�;verk will be complefetl <br />whather spec�fied horein o� not Tha �tanting ol a pennrt dces nof presume to give authont� to <br />wo�ete or conca/ tha provisions of eny olher s�are orlocal law iequfe(ing conswcl/on er tne <br />pedermance o! construcfion. Thot 1 am authonzed bylhe owr,er oflhis property to peAomi the <br />wcrk (u� which apphcatron is mede snd I comply �vdh fhe Sfote ContraCtors W w 19.27 RC W and <br />290.200 WAC. <br />FEE <br />