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cuo 01) <br /> reVLSED AW — o <br /> ELECTRICAL PERMIT APPLICATION <br /> #11P07/74 <br /> ,4410 CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERE II WA 98201 <br /> F>)425-257-8810 : FAX 425-257-8857 E)eyeretteps@everettwa gov www everettwa goy/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: aclOa -Ercarkulyi <br /> BUILDING AREA 1,f ros.,Oen!,a row coistrLcbcn SF <br /> BUILDING TYPE: 0 GER-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS MMEPC Al <br /> USE OF BUILDING; C tC 0--thek- vesteral sate , <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: S 9 <br /> NUMBER OF DEVICES vf low voltage?: <br /> FIRE ALARM? DYES Li NO <br /> ASSOCIATED BUILDING PERMIT# aoplicabIe; <br /> DESCRIPTION OF WORK: 0 rti-i CCIA je -\ s 'p" I %. JrnfrvA4-c0( uct <br /> 6 1 q <br /> ci-A-A-LBCet. rt tY1 t -01-S <br /> CONTACT INFORMATION <br /> CommercAal)alithlUS-00er..Ca_43,• <br /> OWNER NAME.it•TC_ _ 14 As 4 c' if,!ANT NAME(If <br /> OWNER MAILING ADDRESS: Alien "- <br /> atri • cobloq <br /> OWNER PHONE (Da) -7(5 - aqui() IOWNFR EMAIL: 1::DOK. ..)4e.e 311("N&a • CoVYA <br /> CON I HAC I OH NAME: a art3_4.91:\S <br /> CONTRACTOR ADDRESS: _ ( I Co (9 a. 7s0nuteu.-) <br /> 5 pa. 4]e LtAr • ciet -2 C5(4' <br /> CONTRACTOR PHONE:boq) qti 3 03 CONTRACTOR EMAIL: ".. tf01111-C'hle_.350li J <br /> CONTRACTOR LIC. - 671-9-q92f2 601 NA ICITY OF EVERETT BUSINESS LIC.0 . <br /> PRIMARY CONTACT: 0 OWNER Ai CONTRACTOR 0 OTHER Please Sc4!%.city; <br /> CONTACT NAME: CONTACT PH50(.4) 05i - (‘) 503 <br /> 14t- <br /> CONTACT EMAIL:5frar,ce.f.,we 3ctry.‘ <br /> type <br /> of spx.-Fd he re,,,7 CY,.!,' 11'3 ppm'."dc' "z•!s.-est11-,e g,ve PLIVV.ty s,-* <br /> : - !Plc:S:a:o Con!,-otlo-s 9t1, ' 1— <br /> c. ?" !NI.Grof <br /> rEE <br /> PERMIT# <br /> 7/7/7/4, E kL2OS - CX9 <br /> Oymvr!Authorized Agent Signature <br />