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� � <br /> ELECTRICAL PERMIT APPLICATION <br /> � CITY OF FVfRfTI PFRMI7 SERVICES �= �s� _ �� <br /> 3'1COCEUARSIItEt� tVf_RFTT WA98201 /3 � �g��s <br /> (N� 4?�-257-E38"0 � f !1X 425-757-885/ I IF)everettens(c�everettwa gov ;� w,vw everettwa gov/pern!s <br /> � PROJECT SITE INFORMATION <br /> PROJEC7 ADDRESS� ipill ' • (' �� � {._ ��1 S � Z H 7 — --_._— ��. <br /> BUILDINGAREAii''es�.drnt��al rewconslructor i��riar;e r,�;�qruur�i SF <br /> BUILDING TYPE� ❑ SFR C)F�l�CHFC ❑ SFR AI ��CNFfI U OUPI! A fl GdUi.11 FA]"ILV n OI- UVII; 13(COM1'Mf:RC�PI_ <br /> USE OF BUILDING�. Acroti��,liC <br /> ' ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: b � <br /> NUMBER OF DEVICE-5�d�o�v vallagel: 1 '1',�;�� <br /> F�R[ALARM? f-1 YES �NO <br /> ASSOCIATED Bl11LDING PERMIT#(�f applicable) <br /> DESCRIPTION OF WORN� ���ll 1 tl�crmustat tur split sT•stCl71 ___—_ .___ <br /> CONTACT INFORMATION <br /> OWN[R NAME�. IipClilt± TENANT NAb1F Qf Commcrc�aq __ __ __ <br /> OWNER MAILING AODR[SS- � 141 li(�Y .{�II�.' iA4/(. hA I 111 �� �� <br /> crt. SCd���C sr�n ����� rin <br /> OWNER �HONE IOWNhH[MAIL: <br /> CONiNACTOR NAMF' �oI1:lOsc(1 ��CCIIdI11cdI Illi. <br /> CONTRACTOR ADDRESS� r.*k_:� � 1� I') 1.1�1 I� ��ti�C Nl� _ <br /> �,. ��' ���.Iwcill -;:,'�--��,� _:�, yHp7=-- <br /> CONTRAC�OR PHONt. q 'S 4R �:Jh6 �ONTRACTOR EMAIL� It�yll,�qUI1dI1ticl11nci�IL�tlli1���� –� _ <br /> CONTRACIOR LIC If�!+1 u4�uFU! I<)I IANi�1I`�h��I'�i �CITV OF EVFRETT BUSINf55 LIC.pI�FOUINFU)�. p7. �'(, <br /> __' _ _. ___' <br /> ��.[_ <br /> .. — _ " __._.. .__' _ _ . _.__ _' � _--__'___. __ .. <br /> PRIMAHVCON7AC7: U��WNE11 I�Cf7NIHl1C�(1R ❑OTHfH �19r•a��.rtiprci�Y) <br /> (:ONTACTNAMf� CONIACiPHONE. ��ly`��� <br /> Ic�� I c���ui�p�� CONTACT f_MAIL i; 'I n� uhauscnmc� li.�um <br /> AGNlf�.'i.Vi Inra�hy�rrt'ryfn.iUl:+.�+rn.p�,�-��p�,im.,.Mln�...+pp'.�.ilon.V+�1MronMP�amr•lop�la�dMmrm[I llp.ov.nra�n'iauSan�orA�i.im��s0o�rrn,nqfh,•, <br /> �yp.•p1 �P•l �t :PPC � L•.)u�'r! � �l:"�lpnlv�p. , ' I Iln �JI'!-9��1.11 ���PSPo'� . nrOy'uPdilf00r'�•�OY[YdIPO'id9ffll�C/1II�m4005�Id9yf1�I�Nt,'d!Pf� <br /> . �� <br /> n�.�l �.� I....J��r.,:�.. ....�P r.� ...i,'Ir. �..r..yi 1 r 'r�y'Id�nl.n .. �.��qr..�.�vv rI04�..�iv �irlf�'..r}'�mIPn4 ill'�nT.pdCf'(d!�.�^KTd.lpd!'1 <br /> rnT�',,.� . . �,, r ':r-',.� •• �aa �n"9I.V�, ,..1 •qe:l!^}Yd;� <br /> l��l y pl t vemtf f 1'C,id'I l•r•,�q'� <br /> �CL <br /> � � d% <br /> i�rrtMi r a <br /> ,��T ►z z v E 2' `� <br /> Own �dhon dA iga�ur Di!r i{lrvc„If0/t.^^:,�5� <br />