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PAW
<br /> fP_ ELECTRICAL PERMIT APF ;AT1ON
<br /> CITY OF EVEREI`T PERMIT SERVICES
<br /> 3200 CEDAR STREET EVERETT. WA 98201
<br /> (P)425-257 8810 N FAX 425-257-8857 I (El everettepsiipeverettwe gov I www.everettwa govIpeumts
<br /> PROJECT SITE INFORMATION
<br /> PROJECT ADDRESS. 1 "'ti r 4 , "1 r - ' {- '` IIVIIIM
<br /> BUILDING AREA of resident+at new construct#onrem"erciei,or addition) t,S. _ E_ 1. SF
<br /> BUILDING TYPE• 0 SFR-DETACHED £SFRATTACHED 0 DUPLEX 0 MULTI-FAMILY -#Of UNITS. 0 COMMERCIAL
<br /> USE OF BUILDING: 2 :"A)
<br /> ELECTRICA .APPLICATION INFORMATION
<br /> CONTRACT PRICE OF WORK:$ t C}
<br /> NUMBER OF DEVICES rf low valid+e :
<br /> FIRE ALARM? 0 YES OsNO
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<br /> ASSOCIATED BUILDING PERMIT*(if apphcabte .
<br /> DESCRIPTION OF WORK:
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<br /> CONTACT INFORMATION ' R .:
<br /> OWNER NAME: .0 ' , t C&.. .-) TENANT NAME V . M,
<br /> OWNER MAILING ADDRESS: ` sra>rtT k r-� $ e .1 r. . t t • 'a• -
<br /> OWNER PHONE: OWNER :cir '
<br /> CONTRACTOR NAME: ' . t��II ' < F ;444.4 •''
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