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04/01/2009 07:46 4253778977 BOSCH ELECTRIC INC PAGE 01/01 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 95201 <br />425-257-8810 - FAX 426-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 A PM - DE81T & CREDIT CARDS ARE NOT ACCEPTED <br />�i�5 Pi n� <br />PROJECT AUDRESS <br />-F.l�tfl ��1�5 15'"S� ev�•r�++,wA, �4toi yz.5.3oi.�«J <br />Owner Mail Addrass Clry � StatWZID Phone <br />Tenant <br />�as�+�. �Itefia;c <br />Electrical Conl2ctor <br />�iOSCN �tq�13(�T <br />State License Number <br />�:.�� <br />Proposed Uae of Building <br />OescripUan of Work to Be Done: <br />Mail Addr�so <br />Nall Pddnsa <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 70 <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CI7Y oF EVERETT LOCAL SALES TAX CODE IS 3106 <br />City <br />City <br />Slata/Zlp <br />Slete?Jp <br />Phone <br />�Li" ��i 7• �'1 f� S" <br />Phone <br />Contrect Priee of Work <br />CoMact Parson (Plan Revlew)� <br />I hereby cerfify that I heve reaC and examJned this applicetlon and know tha same to be true and <br />wrrecf. An provisfons o(/aws and orelnances goveming thls rype of work will be eompleteal <br />whether specified herein or not. The grantinp ol a permrt does noi presume to 9i�e authoMy to <br />violate or cence/ the provisions o(any otner sfate orloeal !aw �egulatiny construcLon or ihp <br />p or�ir�ioiew� I ch appl/ cation�s� made and ! comply w fhythe 3fe[e Co trhACtoISpLBW 1 B 27 RCW and <br />296.200 WAC. <br />FEE <br />� <br />qD4'" � �/ <br />I <br />