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9E/1P/2010 10:37 4253778377 BOS�I ELECTRIC INC PAGE 01/01 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES s_� �/O <br />3200 CEDAR STREET, EVERET7, WA 98201 �/OOS-�O%6 <br />42G-257-8810 - FAX 425-257•8857 — www evereftwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM • DEDIT 8 CRHDIT C/1R03 ARE NOT ACCEPTBD <br />��0 ��a q 8�`' P� S�E <br />PROJECT ADDRES9 <br />ENPr ---�.1L1S"� st- Evcr ett. �.� a �6zol y�s 30.3.�� a l� <br />Ownef MailAtldtesa Ciry Stale/Zip Phate <br />Tenant <br />C <br />Elecblcnl Contractor <br />Maii Addroas <br />Mail �tl�l�ese <br />Pa��c�+�'t�q 3 C� i <br />State Lfcanse Number <br />Pmposed Use ut BuilAlnp <br />ciry <br />CiN <br />DescrlpUon of wnM l0 5e �nne. �" `�� �� � r���'.� <br />NOTF WIRING IN NON-DWCLLINGS IS R[QUIRED 1'O <br />B[ IN RAG[WAYS, MC OR AC CARLE <br />CITY OF EVERBTT LOGAL SALES �IAX COOE IS 3105 <br />StetaZip <br />StetuZlp <br />� D� <br />Canlraclt PAce oi WOrk <br />Contacl Person (Plan Revlew) <br />I hereby certiry that 1 heve reaA and exemmeA (his app�%eetfnn end knew the same to pe Wa and <br />co�recl. All prov�sions nllews end wdinencee gavartunp fh/s fype oI wuile wdl De cornpieted <br />whefher spea0ad harein o. not 7hs g�anbng el n permd does nat resume f, grvn outhoriry to <br />vrp/etr. or �_ancnl (he prvns�ons ol any nffrer slafe cr io'al !dw iBguP(btg cone« uchun or the <br />QGAO/n1B/1C@ 0( COIIS�/UCf1U/1. TIIA( � N/17 8I/I�iJ�iIBO UV BIB UTA'/1!/ J� (h15 /JfOpCrt}' �0 AB/IOIpI �hP. <br />wurN Nr whi�;fi eppl�cation �s mpCu anC l c.mpiy �nfb tfiu O(a!e CC��t�Ucfo�s Lew �B.Z7 RGW e�d <br />zse zeo wnc. <br />FEE <br />phon� <br />f�� <br />Phona <br />� � � <br />