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�ET
<br /> C RICAL PERMIT AP�ALICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 32fl0 CEdAR Si'REET, EVERETT,WA 982�1
<br /> {P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwe.gov � www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 2721 12th st
<br /> BUILDIIJG AkEA(if residentiai,new cr�nsYruction,remodei,or�ddition}26�� SF
<br /> BUILDING TYPE: ❑SFI?-DETACHED ❑SFR-ATTACHED O DUPLEX 0 MULTI-FAMILY-#OF UNITS:4 ❑COMMERCIAL
<br /> USE OF BUILDING: c'� artments
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<br /> CONTRACY PRICE OF WORK: $ 30,000
<br /> NUMBER OF DEVICES if low volt e :
<br /> FIRE ALARM? ❑YES 0 NO
<br /> ASSOCIATED BUILDING PERMIT# if applicable : -
<br /> DESCRIPTION OF WORK: Change out lights and devices in ali units, change ouf panels rn each U�if.
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<br /> OWNER NAME:EVeI"8tt F10USI11 authority TENANT NAME If Gommercial):
<br /> OWNER MAILING ADDRESS: S,�E�3107 Colby avenue
<br /> �,,,,Everett STA-�wa Z,P 9�201
<br /> OWNER PHONE: 4'25-25$-9222 OWNER EMAIL:
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<br /> CONTRACTOR NAME: Steele electric inc
<br /> CONTRACTOR ADDRESS: S,�E�4722 Bayview Lane
<br /> C������" STATE VyA 21P �HG�J
<br /> CONTRACTOR PHONE:888-404-2882 CONTRACTOR EMAIL: traVlS Q�St@@I2G'C.com
<br /> CONTRACTOR LIC.#cReQu�Reo�: STEELE1841 CS CITY OF EVERETT BUSINESS UC.#(REQUIRE �:5366
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<br /> PRIMARY CONTACT: �OWNER 0 CONTRACTOR �OTHER(Please Specify}
<br /> GONTAC7 NAME: GO�lTiACT d�MO{�€: ti.2�-87�i-748�
<br /> Travis Steele coNrncr EMA��:travis@steeleec.com
<br /> AGREEMENT.•I hereby certify that/have read and examined this applicafion and know the same to be true and correct. AU provisions of laws and ordinances governing Yhis type
<br /> of woNc wi/I be comp/eted whether spec�ed herern or not. The granfing of a permit does not presume to give authority fo viotate or cance/the provisions oi any other sfafe or
<br /> locat!aw regulating co�sLvciion or fhe pertormance of constructron. That 1 am authorized by the owner of tnis property to perform ihe work for which application is made and I
<br /> comply with the Sfate Contractors taw 18.27 RCW and 296.200 WAC.
<br /> City of Everett O�cia/Use On/y
<br /> f PERMIT#
<br /> ; <<r/� E �� � l2�-
<br /> wnerlAuthorized ent Signature Date (Revised 9/23/2016)
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