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�► !LECTRICAL PERMIT APPLICATION <br /> I�►�, �.- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> ny: s �,»;e rS qiG J ::i n b 2. c rz. DRi H r. r e -.,s ,`y�,�t , ;r 3 r�^p f O l �3 �� M MM M'nt S�` .�z{ r <br /> t'E vzt jk �.?>.��;t<ufi�?v'�;`�tis 2�a,Y.a�Y:','..& ., a„�.�'�`, .,» '4-r,„t��� �» r +y rllllm?LNfl 7t{.r.'-,c'�r_... .s ..i.l� t Ief ds�,ry���swr�l �:.ai.S,r. <br /> PROJECT ADDRESS: 2709 12th st <br /> BUILDING AREA(if residential,new construction,remodel,or addition)2600 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX la MULTI-FAMILY-#OF UNITS:4 0 COMMERCIAL <br /> USE OF BUILDING: appartments Lr y� <br /> a rl� ,d s v Y` ggOt t'.Y � i.. II IIA(**M* Kt f .S)r t ( 6 <br /> CONTRACT PRICE OF WORK: $ 30,000 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Change out lights and devices in all units, change out panels in each unit. <br /> OWNER NAME:Everett housing authority TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3107 Colby avenue <br /> C17Y Everett STATE wa ZIP 98201 <br /> OWNER PHONE: 425-258-9222 OWNER EMAIL: <br /> CONTRACTOR NAME: Steele electric inc <br /> CONTRACTOR ADDRESS: STREEr4722 Bayview Lane <br /> c,TM Everett STATE WA Zip 98203 <br /> CONTRACTOR PHONE: 888-404-2882 CONTRACTOR EMAIL: travis@steeleec.com <br /> steeleec.com <br /> CONTRACTOR LIC.#(REQUIRED): STEELEI841 CS CITY OF EVERETT BUSINESS LIC.#(REQUIRED):53663 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4255-876-7488 <br /> Travis Steele CONTACT EMAIL:traviS Q@steeleec.corn <br /> AGREEMENT::t hereby certify that!have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That l am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> / / / PERMIT# <br /> -.,J7i E (43 <br /> O - er/Author' ; Agent Signature Date (Revised 9/23/2016) <br />