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<br /> ECTR CAt `ERMIT APPLICATION
<br /> ,1 - -.. i I Y QIP° I
<br /> x5.25 `40"jO OA 2S 7 5` i (E) ret ever 1 ov I www ev c if o perrritt
<br /> - PROJECT t INFORMATION
<br /> Bttlt,DING ARIA(If dentrttl,nnw-mtlstru ct ,rmntadr or d0I1tit3n2.;,,. .. .
<br /> k 1Ci 31N"a !' :,C3SFR ,4A £-1 Q CI H A 1"1'A HE CI I)UPLI\ a MULl I-FAMII;,:Y-i/OF;0411-5,..,w_ `OMMCRR`CIAL
<br /> • USE OF BUILDING: w
<br /> ELEdTRIGAL,APPLICATION INFORMATION
<br /> CONTRACT PRICE OF WORK,.•. ,,.Oat
<br /> NUMBER ter DEVICES S if tow It:«1 : • ' •
<br /> FIRE ALARM?, II'YES - CSI NO •
<br /> ASO�CiATFf tUiupr �C PERMIT/ If, lii',,:a io ... .
<br /> .-...4A
<br /> CONTACT INFORMATION
<br /> OWNeft IVAM r z I :r ; NAME Pf IIS
<br /> OWNER MAILING ADDRESS; .;,,;;, : 011
<br /> OWNER PHONE:
<br /> OWNER .ft9,1tI..:
<br /> CONTRACTOR ACtOAES :,�_ `.,'"k' i 1` 'L �..,. w.„_ .
<br /> } _.-.._ ,__ .m_ _ ',iMt. - �.,. ' 1 R... `e. .
<br /> CONTRACTOR PHO „N . . -, " ''3,4- - .;6 . �,CoN Fii4O r oCiAJ EMM
<br /> C'ONTRACTOt3 LIC:#liF iLiIIIE#l• "It t)? -lr + �+ 1:41:,)_ ICII"Y OF EVERETI'BUSINESS LIC, (REQUI REED) '
<br /> PRIMARY CONTACT: =0 OWNER `1� r NT AC i Ot 0 art UZ (1'i a`+e$poc(y}
<br /> C# AC NAPM: CONTACT PHONE � �"- Y ..,- P:� :f -
<br /> t "r-t S j1.+ `- CONTACT EMAIL: ` ti . - `—C ..-7•75 \ owl
<br /> .. •,mEalev .1'tt 3cxt?}r rterrfyth,t.t have marl et . n: `this eppFk trim nn 1 know MP stump to De fart?enctcorarltlct. ro ,farts of fetus arid orcliosiirats 4ovarnin rang,
<br /> him)of ittatN tr r *n:Otet then' ; tl trexrtin t oof: Tho*? t f a parfait rides not!wat in ea giVo rittthOrilyy tri vailste or is me t MO prraviskrnzs ofany vthters to or
<br /> k faw twatatie4lronsfroatiorf nrih t perfotraao r of t,vrts,c wticrn. That 1 am sathpiired by Cha owner of this PreperfY to perform the uretic ref which eappilheiten is mites earn
<br /> with th ,Sistk C ootric rs Lsw 182714CW and 291V00WAC,
<br /> Cl of Everott Off tial tise Oni:
<br /> l2 - SO- '7. -
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<br /> ,� PERMIT
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