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Dec 19 2012 3:57PM Bosch Eleciric ]nc d253778977 <br />page 1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY O� EVERETT PERMI7 SERVICES <br />3200 CEDAR STREET, EVERE7T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettvra.org <br />APPLICATIONS ARE ACCEATED FROM 8 AM TO 4 PM - DE817 & CREDIT CARDS ARE NOl' ACCEPTED <br />� <br />�a i��n� <br />PROJECT ADDRESS <br />Owner <br />� I S I STM Sl- V1 E <br />Mall Address <br />t� 9gzol �4zs 3c�3.��z� <br />Ciry <br />State2lp <br />Phone <br />Tenant tvlall ACdfesS Ciry StalelZlp Phooe <br />� � 3R7. <br />P�oscFt E�.E� i�tc.l NC• i�o t3£7�c 10 �� l-�. S�vt'"�s, wd. `�S'"l�' ����- <br />Electncal Contrador Matl AtlCmss Ciry Slate2lp Phone <br />�C�;C{-IET�i � 1 �r� <br />State licenso Number <br />ti� -r2- -,-�-�,i���x <br />Proposod Use oi Building <br />Do�cripllon of Wor4c to 8o Dunes: <br />NOTE: WIRING IN NON-DWELLINGS IS REdUIRED TO <br />BE IN RACEWAYS, ti1C OR AC CABLE. <br />�ITY OF EVEREIT IOCAL SALES TAX CODE IS 3105 <br />Contract Prtce of Work <br />Contact Person (Plan Review) <br />hercby ceAily thar l have mr�d and exam�ned fhis app/icatlon and know the same to be true antl <br />:or�etf. A!! provisions 011ows and adlnances gavemmg tlus typa o�tvOrk will be campleted <br />vhelher specified he�oin or not. � he granlln0 al a permK does notP rcsume �o g;ve authonty to <br />�w/ate or cancel (he provisions of any other sfats or local low regulefrng construction or (he <br />�erformanca o(ccnsiruction. That 1 em au}horized by �ha owner o(thrs property fo perform the <br />;rork !or which appliceflon is made and I comply wtth !he Sfate Confracfors Law 18.27 RCW' and <br />'95.200 LVAC. <br />FEE r� <br />� �V <br />��212- i I �- <br />