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<br /> ClTY Oi� EVERETT P�RMIT SERVICES
<br /> 3200 CEDAR STREE�", EVERETT,WA 9820�
<br /> (P)425-2�7-8514 � FAX 425-257-�857 � {�)evereffeps a�evereYtwa.gov� v�uvw.evere�fv�a.�ovlpermi�s
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<br /> P�oJ�c�r��r��ss:2`71 � i�th st
<br /> �U1L�IN��(3E�+(if residential,new construction,remodei,or addition}2�0� 5F
<br /> �191�D3�1�1�PE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX �MULTI-FAMILY-#OF UNITS:� � COMMERC(AL
<br /> us����u'�otra�: app���tents
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<br /> coN��c���oc�o��o��c:� 30,000
<br /> i�UNl�ER O�DEiiIC�S ifi low voltage):
<br /> F61aE AI�l�i? L7 VE� �NCe
<br /> �►SS�CIA7'ED�l9oLD{NG��RI1�17�(if applicable):
<br /> DEscr�t��so����or��c: Change out lights and devices in all units, change ot�t panets in each unit.
<br /> � ' ` ;: . , CBN`��1�7`.._IN�ORIUfAT1QIsI ;
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<br /> OWNER N1�lM�:Everet�housing authority TEIdAId'T IV,4ME{{f Commercial):
<br /> ow�uEca�A«B�vG a�a��ss: S-��3107 Co6by avenue
<br /> �,N Everett STA,�vva Z,P 9820�
<br /> owr�eR�r�or�e: �25_�5g�g222 DWRIER EMAIL:
<br /> co��rRacro�Nan�E: >tee9e electric inc
<br /> corur�acroR��R�ss: S,�E�4722 @ayvievrr Lane
<br /> �,,,.Evere#� �:,-�UVA Z,P 98203
<br /> coe���,croR���o�E:�8�-404�2882 corar�c�ro�r�n��L: #ravis�a stee9e�c.corn
<br /> CONTl2ACT�R Ll�.�{REQUiRED): STEELEIPi�i�CS CITY OF EVERETT B[DSIiVESS L1C.#(REflU1RED):���7��
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<br /> PR19iAAR1(CONTACg: �OWNER �CONTRACTOR ❑OTHER(Please 8pecify)
<br /> coNT,�c-r���: cQ�-r�cr�o-���v�: 425�576�7488
<br /> Travis �t�ele co�v�cr��a�L:t��vis@stee6eec.com
<br /> AGREEMEIVT:t hereby cer#ify thaf!have read and examined fhis application and kr�ow fhe same fo be true and correcf. All provisions of laws and ordinances goveming fhis type
<br /> of work wif!be complefed whether specifiad herein or not. The granting of a permit does nof presume io give authority fo violafe or cance!fhe provisions of any otherstate or
<br /> locai law regulating construcfion or the perfannance of constructinn. That 1 arn authorized by the owner of ihis propetly to perform ihe woNc for which appticatinn is made and)
<br /> compfy with the State Confraciors Law't 8.27 RCW and 296.20D WAC.
<br /> City of E�erett Officiai Use Only
<br /> � PERII�IT#
<br /> � � � / 7 � �� 7 r a � b,�� ,
<br /> �� Owner/A orfz Ageng S�'ga�~a#ase � Date � (Revised 9/23/2D1S)
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