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05/18/2011 15:02 4253778977 BOSCH ELECTRIC INC PAGE 01/01 <br />� <br />ELECTRICAL PERMIT APPLlCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERET7, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereriwa.org <br />� --i8-1! <br />E►ias�vqcj <br />APPLICATIONS ARE ACCEpTED FROM 8 AM TO a PM - DEBIT 8 cREDIT CARDS ARE NOT ACCEPTED <br />3 Z3 2 P—ocac,e.fe l l e r <br />PROJECT ADDRESS ' <br />owne� <br />Tenant <br />3232p,n�y„`�C���r tvc�i-� wR.�j8z01 �fZS,2 <br />Mail Addreca <br />Mall Addres6 <br />Cily <br />City <br />Sfel¢21p <br />SlOIeJZip <br />Phone <br />Phone <br />Bosch EleckriL .T.rc,. Po Bo� Io8'S ►—ct.lc.t S1�evcv�s�l,vh q8 Z�% �kt� 3°I�87�5 <br />Elecmcal Contractor Mail Address qty Sqta2ip Phone <br />F.�OSCt-tEZq R 3 CJ� <br />State Llcense Number <br />(�A ►�n rc-�'af �r e..� o�fi�� <br />Proposed Use of Bu' ing '— <br />� 5auo �� <br />Contract Price of Work <br />Contact Person (Plan Raview) <br />DescripUon of Work to Be pone: _�Gf o1 ,/1,C /i1A,Or� L(�4t,<Z ..�%J�ry,r1Gf � L'(iTCCt1 �'iJ�, <br />a_aCd o�,�-t,�,�� <br />NOTE: WIRING IN NON-DW6l.LINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE � <br />1 hereby cerh'(y thet f have read and examined this app!lcsUnn and knowlhe s�me fo be vue and Cj I�, �� — v� L/ <br />correct. AlI provlsions oflaws and ordlnances qeveming this type ol work w!/! be cwnpleted <br />whgther specified herein or noL The grantinQ o)a pemnf does no! resume to givo authonty ro <br />v/olate or cancel [he provisions ol any other state orlacallew ieguPfing constrtiction orthe <br />wo�rlr�f�or�vnleah e���on�s�nT de� and I complZeivdithyM�e Stete Con( a�s propeRy to pallorm the <br />296.200 WAC. PP �a y Uors t�w 18.27 RCW and <br />� <br />