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07/3B/2009 13:2B 4253778977 BOSCH ELECTRIC INC PAGE 01/01 <br />ELECTRICAL PEkMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 G�DAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS Al�E ACCEPTED FROM 8 AM TO + PM - OE81T & CREDIT CARDS ARE NOT ACCEPTED <br />�l_(v Pinv <br />PROJECTADDRESS � ' <br />Owner <br />T0n0fll <br />Eiectrical Contractor <br />Mail Adtlress <br />Mali Address <br />;'tvl c �� 'P'0 - <br />�vi��� AddfR68 <br />_��" E!"11�,3 -- <br />State Ucense Number <br />M FQ._. <br />Proposed Use oi 9u�iding <br />De�cription of Wo:k to Be Done: <br />Ciry <br />City <br />C�ty <br />zs� 03. . <br />ShWZ�p <br />Statc2p <br />RBL�� � Lr 3� <br />St2te/Zip <br />Contract Price of Work <br />Contect Person (Plan Review) <br />Phone <br />Phone <br />Phonp <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />DE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERBTT LOCAL SALES TAX CODE IS 3105 <br />I here6y cer7iry thaf ! have reed and examined !h!s appllcation and <br />correcr. All provlsions oJ/aws snd oraMances govemmg this type <br />whether speci�ad herain or noL Tha g�anling of a permd does nof <br />vicfafe or cancel fhe piovlsions of any other stefe or locellaw regu <br />performance of ccnstructlon. 77�at / am authonzed by thr owne� oi <br />work ror ;rhich applicstlon is rueoe enp l comply with tne State Cor <br />296,20D WAC. <br />r <br />� <br />fo <br />FEE <br />e�d � D�il�`� -1 zq <br />ro <br />end <br />