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Oct 10 2013 1247Pt9 �osch Electnc Inc 425's77E977 <br />page 1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES /D—i0—�3 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-6810 - FAX 425-257-8857 —wwav.everettwa.org G/3�0 —D i�7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBI7 & CRED�i' CARDS ARE NOT ACCEPTED <br />�� �i �� <br />PROJECT ADDRESS <br />� l I �s �. ! I J <br />��� <br />Tenant <br />t3 USC I� �( c ��'t'� � <br />, S"� Sfi <br />Mail uoress <br />re-}'f-, VU� �420f �{ZS. 3t�3. ll0�1 <br />c.ry <br />State2lp <br />Mail Pddrew Cl�y Sd;�p <br />�. . PU E3ax r 08 � Lk St� �e ��. �c �/k 9R <br />a <br />Phono <br />P�one <br />Kzs. 347. <br />EleGh'tcalContraGDr b:ail;.[}cross Ciry Siatc�7�p � Phene <br />�USc.H-E L�'tQ3 C�i �� 3�' <br />Slate uconsc Numbor ConVact Pnce of Wark ' <br />NL� r <br />Froposed Uce o1 Buildlnp <br />DeecApUon o! Warx to 8o Dono: � � G G <br />NOiE: WIRING IN NON-D�VELLINGS IS REQUIRED TO <br />BE IN R,qCEWAYS, MC OR AC CABLE. <br />Contan Person (Plan Roview) <br />CITY OF EVERE'IT I.00qL SALES TAX CODE IS 3105 <br />I hereby cerfNy fhaf J heve read end exemined this epplfcatlon and know (he same fo Ae trve anv <br />whethor sp afiBd hera�o� not n�he grant ng �e pemr�t jdoes of p�osume o g� e aufhonty7o <br />viok3fe or cancn/ Ne provlaions ol any etherstere or/ccal law regu/n(ing �onsVucUon or the <br />werk or wh h a�plle G n�'s�made and I eom���vfh �e SfafeeCentractors LsW 18 27 RCW end <br />296.:00 WAC. pty <br />FEE <br />�� Q� <br />(%j3f0-09% <br />