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y <br /> �IC f ' P .I . .: , <br /> II°,'r,t `i tt l..tl I t I I��,�ll 1 ,�tlt r <br /> ., .: ' ;sl:}lii�} IJ/11� >II�{'[ i i Vii iri [ '/r/74f<3 ,; ; y <br /> ; di=*fl av,a `>�� r,rr r e=1r r"..f*,1r���ut1�€�rr�t��< <br /> AI13Cid E Fudrartt«p'�tc, (1 <br /> fOJ T SE rE tPItFf3FtMAlrl°T3 <br /> ' au IfiIN AR-.--�'�+f€nln€ 1 s irnrlr�1 E r Ic ri +tri t,ii - _ <br /> L � i; r t rz� e <br /> hUt l7#t YY._ I'F[ IAC} I? 17,1".;;;;,;Al1rkr:}ak 17 t I.3 tit 'T�kit [ rt r3 <br /> y <br /> iJSE:CIF fit)1LL itsit +,, ¢ ` ,0,,,,-4-i:!C , -- <br /> ELECTRICAL AtPPlLiOAT1<lN ttTt SARi16AtC9tJ <br /> CONTRACT PRICE OF WORK:$ ar <br /> _.______ <br /> 'NUMBER OF DEVICES(If Intiv un!l'lg r: — __._. ..____ <br /> € ' FIRE ALARM'? O YES _ El NO — — —_ - .�: <br /> ASSOCIATED BUILDING PERMIT#(if a*plicabte: _ �- < 16' 9 <br /> DESCRIPTION OF WORK: a!' \.3 <br /> . 1,:4,,,,:;:: . <br /> CONTACT INFORMATION . <br /> TENANT NAME(If Commercial): -�- <br /> OWNER NAME: tJ i • <br /> OVVIIER MAILING ADDRESS: sT seEr Z C3 Q V P A+1 d !IL _ A Q <br /> STATE `.✓"' Zor t ! Z-d <br /> OVYNER EMAIL <br /> OWNER PHONE: ME: L�..8, U" O _ c t �,' c,, ... L <br /> c-, t <br /> CONTRACTOR NA �+ �� C M- <br /> STREET c�ti ate r So.e.\ <br /> CONTRACTOR ADDRESS: l <br /> �� mo <br /> `` s .e an <br /> CONTRACTOR PHONE:,"�•2 I ( Ol CONTRACTOR EMAEL:r, <br /> Cc.?NTRACTOR LIG. <br /> #(REQUIRED}: L C � �"t+ <br /> I. Cy g CITY OF E1tBRETT BUSINESS LIC #(REQ1)`nEo) , <br /> P#IMARY CONTACT; ©OWNER ONTRACTt�ft ❑OTHER(Please Specify} --- <br /> CONTACT PHONE: C-f 2„ — I C t <br /> CONTACT NAME: <br /> e r /t�-� L�Ct T` . CONTACT EMAIL: d.y� tE'. . r. .:R •y...k t , w+r <br /> the same to be tnle and csorrecf. vasfvns Of o v ocher state c r <br /> ft Tf of F.td 1: be coby certify lthat <br /> ether specified cified hereingor not ined tThe granting of a permit does not presume to give authority toot fe or canonovesIons of the pmmst n S o c a y oth g this <br /> tic bf v reg vrili og c nStteted wh i <br /> foci,/iuvdreuutating construrtionor the performance of and 2176t20Q�AGhat I am authorh_ed by the owner of this property to perform the work for which app.'Ica".icn.y made arra t <br /> c€Kr y v✓itb the State Contractors law 78.27 R W City of Everett Official t tse Only <br /> FEE <br /> • <br /> I PERMIT .. .. <br /> 1 Revised 1t?dt 01$1 <br /> 13 £ g e .& ::,'',<.N-„,-;,,It.,. <br /> C' . 131£ j <br /> I�R�i LI� <br /> ✓., Aa ts. ?mac <br />