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�ECTRICAL PERMIT AP�ICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 324U CE[3�R�TREET, E'l/ERE7T,WA 98201
<br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov � www.everettwa.govlpermits
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<br /> PROJECT ADDRESS: Z7O7 �ZtI'1 St
<br /> BU1LDiNG AREA(if residential,new e6nstructio�r,wemn�et,ar�ddifior�}�6�0 SF
<br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX 0 MULTI-FAMILY-#OF UNITS:4 ❑COMMERCIAL
<br /> USE OF BUILDING: a artments
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<br /> CONTRACT PRICE OF WORK: $ 30,OOQ
<br /> NUMBER OF DEVICES if low volta e :
<br /> FIRE ALARM? ❑YES 0 NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRiPTlON OF WORK: Change ou� 1igh�s and cteVices in all c�nits, change out panets in each u'nit.
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<br /> owNeR Nan�e:Everett housing authority TENANT NAME{If Commercial):
<br /> owNeR MaiuN��aunRess: S,�EET 3107 Colby avenue
<br /> ��n Everett STA,�wa Z�P J"$�0�
<br /> OWNER PHONE: 425-Z5$-922c� OWNER EMAIL:
<br /> CONTRACTOR NAME: Steele electric inc
<br /> CONTRACTOR ADDRESS: s-rRe�4722 Bayview Lane
<br /> ��,.E��r�i� STA�ilV/A z�P 982�13`
<br /> CONTRACTOR PHONE: $$$-404-2882 CONTRACTOR EMAI�: traVlS�St@eI('.@C.00111
<br /> CONTRACTOR LIC.#(REQUIRED): STEELEIS4"I CS CITY OF EVERETT BUSINESS LIC.#(REQUIRED):�3663
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<br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify)
<br /> CflNTACT NAME: GONTA£T Pt�ONE: �,�J-$7E'1-�4�5
<br /> Travis Steele cor��acr EMai�:travis@steeleec.com
<br /> AGREEMENT:l hereby certify ihaf I have read and examined this appticafion and know the same fo be true and correcf. All provisions of laws and ordinances goveming this type
<br /> of work wi(t be completed whether specitied herein or not. The granttng of a permit does nof presume to give authority fo violate or cancel the provisions oi any other stafe or
<br /> /oca!taw regulating consfrvction or fhe pertormance of construction. That 1 am authorized by fhe owner of ihis propeHy to perform the work for which application is made and!
<br /> comply wifh the State Contraciots Law iB.27 RCW and 296.20Q WAC.
<br /> City of Everett O�ciat Use Only
<br /> PERMIT#
<br /> , 9/�� l E �� - �� S
<br /> wner/ horize /\qent Signature Date (Revised 9/23/2016)
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