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�EC`FRIf:AL F'F�f2flAl�' AP�ICA'i'ION 1_14�6 <br /> CITY OF EVERET7 PERMIT SERVICES Glbo I-Ogv <br /> 3200 CEDAR STREET, EVERETT, WA 9820' <br /> (P) 425-257•8810 FAX 425-257•6857 � (E) eveietteps@everettwa gov � www everetlwa gov/permds <br /> PROJECT SITE INFORMATION <br /> PROJECT AODRESS� � r'`7 L. i'7�(L� � Yi�-L <br /> BUILDING AREA���res�dert�ai new construcUon, remodn� or aad iron�__. _ SF <br /> BU�LDING TVPE: ❑ SFR�OETACHED ❑ SFR-�TTACMED ❑ DUPIE% .1�MULTI�FAh'4Y �u OF UNITS ❑ COMMERCIAL <br /> USE OF BUILOING 1 ' 1��.� C�fYt ��' <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: E ��•��-�� _ <br /> NUM�ER OF DEVICES Q'iow voitage): <br /> FIRE ALARM? U YES U NO <br /> ASSOC�ATED BUILOING PERMIT k d a hcable <br /> DESCRIPTION OF WORK: � ��.�.�� ��-+;- � �� �� <br /> �,.Vl_ � � ' � 1'lUu_'� '�L✓L'-� ' � "�(� 'i� <br /> ���iw — <br /> CONTACT INFORMATION / <br /> OWNER NAME� _ TENANT NAMF 01 Commcrcial�. _ <br /> OWNER MAILING AODRESS: sPei� <br /> cirv 5ra•� t� <br /> OWNER VHONE' OWNER EMAIL: <br /> �� -� <br /> CONTRACTOR NAMF: Y_�,-- �X�_ �=�L �, r— � �'% '•��--- ___,_—-._ <br /> CONTRACTOR ADDRESS: :�nrv� �"`).�.%Yl- � I7�`1 ��# <br /> � y� �� `/ C �\ '>> <br /> I:�fV �(�. \_\`l -- t1�14 \A�r � )ii .VI�� <br /> CONTRACTOR PHONE: .�.1.-�-��� ��1���'-L�� CONTRACTOR EMAIL� �C.-✓C /1 -� �-^Z1'C.4'C �E.- �il ��i��7 <br /> CONTRACTOR�IC. MIqFUU��tFO�� (J�-S'(�[=T�t_tIL.JlL-.("' CITV OF EVERETT BUSiVFSS L C.MIRLUU�RCDI ��-���{-% <br /> PRIMARY CONTACT: ❑OWNf'H CONTRACTON ❑OTHf.R�Ptease SVec�ry1 . <br /> GONTACT NAME: '------ --�- GONTACi PNONC: '�.)�•�) .•��) ].�u.�7 � —--_� � <br /> ,��{� ��r���'1� � CONTACT[MAIL: � ., �� ..;` � �y� '.:.��.'t� -� <br /> NJktEM1!C�IT Ilirr��DYCCrD�yf�el/IiavrmnJ.rci1�•�u�n.,�rUlr�.�����-,�,�M1unanJbrmvl��srvmelu�efroNar;piomT 4upro„wnso��naea^�lONrri,incesqoverr,nqlm� <br /> !q`r 0��:O�I wni 0C cOmp'e1Ptl w�el�w spCo'.ct1�rm�v c'ro' lnr,�anFap ol a pCrmif ticei no1 P�esumelu grve aullionfp In v9N'r m ranCe�fOr 0�ovi5�ons o�Jny olner s'n!n u <br /> i:��;I����q'�ubpr�q rorShLCl9n o•!�e L'r/1Jn�d�to d<0'�s'rycfDn 'r.At i a,n a��fno'�repO) IAp unnw,nll�.+p•uo.•�1��Po Peno„�IPr��o'� Ip.�.-0�✓�x0A°������^�+mn0e a�,o I <br /> Ca'1'Ury��Vt NP G!aM CCn!/3C'J+LJ�� �0 i'�1QNb'�0.'lG.^90 4Y•1� <br /> Or y o�C.r�efr Ox,rai Use Onr�. <br /> '�` Iv <br /> � �� ol� <br /> , ��Far,n�� n <br /> ��- ���- - �- ��--��> E I �� I � �D <br /> �-�)��� ,,�,,,� <br /> Owner Au'pri�rQAgen�5� nalurr O.Yr i�:r�.�.o:! +f� �:'..'.. <br />