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11/24/2et5 2G a2 �7587 P oot/oot <br /> �ECTRICAL PERMIT AP�ICATION <br /> CITY OF EVERE77 PFRMIT SERVICES C�5�� 'I� <br /> 3200 C[UAf2 STREET, EVERtTf,WA 98201 �� _�5—{5 <br /> (P)425-257�810 � FAX 42�257-8FS57 � (E)everetteps@avereriwa.gov� www.everettwd.gov/permits <br /> PROJRGT BiTE INFORMATION <br /> PROJFCT MORESS: � - � N <br /> BUILPIHG AREA(if rosidential,new consvuction,remo4ol,or addiUun�_ _ _5F <br /> BUILDING TVPE: ❑SfR-0ETACHEf� ❑ SFR�ATTACHED ❑DUPLEX ❑ MULTI-FAMILV-a OF UNITSt ❑COMMERCIAL <br /> USE OF BUILDING: �'�, <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:3 ppo <br /> Nt1M8ER OF DEVICES il low volta e : <br /> FIRE AI.ARM7 Ll YES ❑NO <br /> ASSOCIATED BUILDIN6 PERNIT k if a licahle : <br /> DESCR�PTION OF WORK: C 1! <br /> tl • CCNTACT INFORMATION <br /> ONMER NNAF: � � � TENANT I'WM�tt Comm¢rcial : <br /> OWNER MAIUNG ADORESS: s�ncEr <br /> cm Slnri zA <br /> OWNER PNONF: owN[R e�w�: <br /> cONTRAGTOR NAME: t <br /> CONiWlC70RADDRESS: ,rncn G ) � X./.� <br /> C.m STwTf. L` � <br /> f.ONTRACTOR PHON@: GON7RACIOR EMAIL: <br /> CONTRACIOR UC.N(RE�UIR[U�. / CT/OF EVERtTT BUSINESS LC.111REO�IR[n:� ' <br /> PRIMARV CONTAC7: [J OWN[R . CONTRACTOR ❑O1HFR(Proasc Spodry)_ <br /> LONTACI NAMt: CONiACT PHONE: �-��f � �_ <br /> _Zf /f . .. cOM'ACT EMAIL: . <br /> .1GREEl�EM:lMue➢yNRfIy11w11lwwreWBMnrHrtVnodM�tH(��(t'rnl�nelMYiKM'Mxs6mf106qfNxxndMrtni'1. AUPN✓lLOt150/IQM59lqppill0/INYtJOVOm�lqlNn <br /> 07�0 OI M9Ik MU Otl MIl�NOIOO N1W I/`^�9PBflI�R11MM111 N/q1. 7IW NIIIIIG/Y�OI N Qn11M(Y(M,4/16�PN,SYf/C I!1 Vry0 OYff1[YRf'10 NGY16 b COIICCI IM OlDYI$AYIi OIIYV'Oihur nMii�o. <br /> 4xd br'�o-Jw'e�M�uist/Uctai b Nn M�I^nrv�pp d cMNnrz9w. TM!1 um tiiRnonmO Ay Um owrx�Of Mw ryqpnny fn pxrloml IM wnN hv WrICA nppLtalM1M It MW1J entl! <br /> oun(Yyw.4Allin SYu'�r f.�mfrv.,brx l nw 78.27 RCW nrM 7'JU.700 WAC. <br /> [.xy ol Eraran OM��I usu Onry <br /> FEF <br /> �fao <br /> PERMIT# <br /> � .� � E IS l l — �Sq <br /> ! ��n�m«IxsdM»�++sqn.�u.. oa rr�b��sea,a,vro�s, <br /> � <br />