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03/O5/2007 08:21 42537789�7 BOSCH ELECTRIC INC PAGE O1/O1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />•200 C6DAR STREET, EVERETT, WA 9f3201 <br />425-257-8810 - FAX 425-257-R857 — uw�tiv.everettwa.orr� <br />APPLICA'TIONS ARE ACCEPTED FROM 8 AM TO 4 PM - UEBIT S CREDIT CARPS ARE NOT ACCEPTED <br />31 Z� M � �w.11 �ive <br />PROJECT ADDRESS I <br />Owner <br />Tennnt <br />)12S t�t� <br />Mall AddreBs <br />Mail Ad�IN's <br />ve�-e <br />Gty <br />Ctty <br />Slnte2ip <br />SWIc21p <br />33 <br />�;�� <br />� <br />� r�.�t�i�_�lkrfvic,��w. �$$x 108; LakLStev��ls u�� 9S2S�d �-!`iS..3�i��. 6'7l�S <br />£lecl�ical ConVactor Ma7 AJaress Ciry statelzip vnone <br />�d�%SCi�ES`�`l�� Q 1- <br />8lale License Num6er <br />Proposod Use of Building <br />�a a, �oq. os <br />Contract Price or wotk <br />Conlact Persun (Plen Roview) <br />Desc�lplion o( Work b 9e Done: .�-V1$'tll.�� YIL�(t� �� YJ ✓li.t/��.� C I V LLII'}�i <br />1.. ^� _, .., u �l. .n1 _ _ . L <br />NOT[: WIHING IN NON-OWELUNGS IS REQUIRED TO <br />fSC IN RACCWAYS, MC OR AC Cl�BLE. <br />GITY OF EVERETT LOCAL S/�LES TAX COUE IS 3105 <br />! BereDy terUly tt�af f have reud <br />correct. �I! pmvislons o//aws a <br />wAelf�Qr specifieU hOr�in or not <br />violafe or cancal the provJslons <br />perfonneinco u/consYnich'on. 7 <br />�wrk hu which eppllcnUon !s rru <br />251G.200 WA�. <br />fhls appllcptlon and know fAe ssme fu Ge (rue end <br />povemmp this typo ol wark wlfl Ae cnmplefed <br />�I u pem�d does not presumo to pive aulhority (o <br />FEE <br />�be. Sta�e Confrnctors Losv t 8:27 RCW and <br />�' s 07 /,�'l� <br />oaM �% C <br />r <br />