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� • -- -- <br /> � ELECTRICAL PERMIT APPLICATION � _i> - /,� <br /> CITY OF EV[RFTT PERMIT SERVICES � / / n��) � <br /> ?)00 CEDAR STREET. EVERETT. WA 9820t bV <br /> (P� 425-257-8810 I FAX 425-25�-8857 � (E� evereueps@everettwa g�v � Hvoweverettwa gcv/permds <br /> PROJECT SITE INFORMATION <br /> P40JECT ADDRE55� ��.1 � �'l,� � i <br /> —� ,�,,�v <br /> BUILDING AREA hl res�0enl�ai new co�s��uc��en re^�o0 0��OOn�o�l � � D� �N' `�F <br /> BUILD�NG iYPE�. ❑ SFR�DE7ACMED O S�R�A"TACMED ❑ OUPIE% ❑ MULT'�FAMILY �r O� UNITS ____ Q�CO�.'MERCiAI <br /> USE OF BUILOING ` � 1 (,1 QY <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK�. 5 (� <br /> NUMBER OF DEVICES d iow voila e : I p�e �'Ll��A`.S — <br /> FIREALARM? OYES ❑NO _ _--- <br /> ASSOCIATED BUILDING PERMIT N �I a hwbic ,L <br /> DESCRIPTION OF WORK: ��jT R"LL UF Z�O ��IA� UO L�AC"] �rll�I�FI [�TA- — <br /> C? L�� <br /> CONTACT INFORMATION <br /> �1 �•�i C�AA 71h-1'1 (�1 � ��-• CC�p` <br /> OWNER NAME L I'1'1'�(7�i��L�2 �/� TE ANT NA �ME (II CommercqJ� i�✓1 C(LF �" <br /> OWNERMAILINGADORE55 �`F� I�Gi ��1�.� J�'3�• � - ---- <br /> 5�� _ _ - �� c�- - �ro�. <br /> OWNER PNONE� OWNER EM41L <br /> CONTRACTORNAMF�. j)�H' � r ��Q ' � <br /> CONTRACTOR AODAE55� '^+� ��D � �� IJ-/�� �/� ' / <br /> r.�. /� � � �{�/��1� ,:rc ��YT- n� ����Ol!' <br /> COHTRACTORPMLWE 7C�cC�-� �4.��IDD' 1CQON�T�RACTOAEMAIL: jC✓✓/CC�� �C �9�C'✓� �O��LPS. <br /> CONTRAClOF LIC MiRCOUi�E01 CUC1�C/ '1 r3r1 � CRY OF EVENETT DUSINE55 LiC M�rtLQUiNCO� OJ �� � <br /> PRiMARV CONTRCT OOWNFR C�CONTRnC1qR O O1�{ER fPledsc Spcolvl___ <br /> CONTACT NAME. 1 CONiACTPN 1NC� � `� ��"`633� <br /> �x1�� e�j'Ta�� CONTACTEM��IL� G��'�c� r�n��cr _ �artcs �NE - <br /> A(JNffMh�'l� ��PTIYM4�1'I�df��BYPTTOl��p�PTAfafNSIJp�CB"O�TnQInOJ1i1BIdTPl011BPJPdn�(O/IM! Ai'ON��AO�S��IAn{pn00/C��1r0(lSIfOVP�Ne(11Pi5 <br /> IYPFa/um�ui'Dncomdefnen"riCr•sMCrr�ed�mpinOrn01 �IIYC�JIIC��CIdO�rMl(1JP!^OIMnSVT��lOPvOIVI�OnlplCm01J'POrUnCCl/�lp�prrP0�tU1XnyOtl�Prp/MC� <br /> �xa�I��.rnB�'an^Or[�s�Nrnr�nNrMpn�ormn�caolm�srq¢'I�o� tn���a��ad�^onea0yl^�ow�/�c'�P�suNOB/hro0�ro�mPlno��o�u��r�nep'K�^n�ismn[Ino��O� <br /> i o+�u'y w!^rnp S!�rr Co�nnno��ta�. �P:)�+OY eno 796:M WdC <br /> C.��ol Fvrrin OIG[,a�Vse On�y <br /> �EE <br /> �� �6 <br /> PERIAiT e <br /> �; �A �' E Il�b2- I� <br /> c� - � � i� i <br /> Own riputnorlieA R9rn1 Signatu/e Da�e �Aenaea i0�tL7C�51 <br /> � <br />