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07/3�/2408 10:2� 425377897"/ BOSCH ELECTRIC INC PAGE 02!02 <br /> EL�CTRICAL PERMIT APPLICATInN <br /> CITY OF EVERE7T PERMIT SERVICES o�, <br /> 3200 CEDAR S7REET, EVERETT, WA 98201 7 ��J r� <br /> 425-257-8810 - FAX425-257-8857 —�wv�n'•everettwa.org COg07�16✓ <br /> qPpLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> �-'1a-�! I a �'-� , trZet' <br /> PROJECT ADD�E55 <br /> EN-� a� �s iS"' Si- Eve�el�i-� w�t-. y��l ya5. .3v �. i � zl <br /> ��n, State2D Phone <br /> Owne• Mail Adtlress <br /> Tenant Mail Addresc <br /> ��ry SlatelZip Phone <br /> ,l� S w�- �8'zsg �zs' 3�y �'� s <br /> BDSCN �L�r�,iG lniG �'o �3Ux 1�15 � LRkE sT�-�.� <br /> - Siaieiup Phone <br /> EI¢ctriCal ConMactor Mail Atldress City <br /> "'- ����x����� Contract Price of W ork <br /> State License Number <br /> Propcsed Use of Building Contact PersOn (Plan Review) <br /> Descdplion af Work to Be Dane: ,�'e P� PV re �a �� J <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br /> I here6y cettifv tha}/have read and examined this applicatlon end know the same to be true and � G�U� � �� -� <br /> corract. A/l prvv/s/ens o(laws and ordrnanees 9overnrng this fype of work will be comp/eted <br /> whether spociGed herein or not. The grantrng oi a parmrt does not presume to give aufNonry to <br /> violste or cancel tha provlsiOhs o/any other stalo or Iccal law ragu/atlng ccnSfrY/CUon of tha <br /> peAormance of construchon. That I arn aufhonzed by;he ownar oi!h�s property to peAorm the � <br /> worr;for which application is mnde and l comp/y with t�re State Contrsc7ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � �` � _ 3p ..o�" <br /> ISipnatur Uala <br /> I <br />