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ELECTRICAL PERMIT AM5tICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425.257-8810 FAX 425-257-8857 1 (E) everetteps@everettwe.gov 3 www.everettwe.gov/perrrilts <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS X12 C7vifk pot <br /> BUILDING AREA t€t resident al new construc:taon reniectel Or adduct€:;f SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX `CtiIULTI-FAMILY- OF UNITS 0 COMMERCIAL <br /> USE OF BUILDING: 04"N et-4- 920, t�yl�v�►`'J� <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: S C) <br /> NUMBER OF DEVICES {4f low voltage): to - 1- <br /> FIRE ALARM? 0 YES ttisto <br /> ASSOCIATED BUILDING PERMIT#of app[ioable): <br /> DESCRIPTION OF WORK: <br /> IANNANA <br /> CONTACT INFORMATION <br /> } <br /> OWNER NAME: lA 1it TENANT NAME(If Commercial)= OA ' A(t t}+` <br /> OWNER MAILING ADDRESS: q:mE.ET 1,1 <br /> r� \r‘0.1\' <br /> , .. ATE <br /> OWNER PHONE: (52661 \I r 27i"y OWNER EMAIL: iD 1\'{ co-Ate ir'i{A ' x 1- <br /> CONTRACTOR NAME: & &4 ori <br /> CONTRACTOR ADDRESS: aT v a ‘V"))11 <'11- Ade <br /> 1' Bate, sw. E t.vt :P 1� <br /> CONTRACTOR PHONE: ��z 2 9"/CII 'c <br /> CONTRACTOR EMAIL: •CW+ P)`hV \ Q ,R,t'Ptot <br /> CONTRACTOR I 1 t J� CITY OF EVERETT BUSINESS LIC <br /> PRIMARY CONTACT: 0 OWNER COI TRACTOR 0 OTHER Pease S{,ectt' 95444 4- <br /> CONTACT NAME: CONTACT PHONE: <br /> .1701tYlie 't 1 CONTACT EMAIL: <br /> 4 _..F5t a.-eta lett s.'`is:f 'd de..t r:1e2 f'r.:$:)24. 3:01 ata%I'122'1S c2"r t`a=:e Z', 3?51.,o.-ec. 4 '^ .55?`4253'12 :.... >-c5 t,.a ;'tr i <br /> s' ,a, ;3+e:eif !e`i .. it a`.+.=J _ .:4 0' a ts 17 .. x'3 re''tt t Logs 1.ct 5, I y e ax 4 ate tae _ _ a s circ <br /> _ t __ ,t`4"a_Z , . . :' 3 i 2,4E ti_€',a <br /> FEE "at Es&e-.' f)Fkf: <br />