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ECTRICAL PERMIT APOICATION
<br /> I�►' �. CITY OF EVERETT PERMIT SERVICES
<br /> 3200'CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 l (E)everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT ADDRESS:2723 12th st
<br /> BUILDING AREA(if residential,new construction,remodel,or addition)2000 SF
<br /> BUILDING TYPE: 0 SFR-DETACHED SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS:4 0 COMMERCIAL
<br /> USE OF BUILDING: appartm is
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<br /> CONTRACT PRICE OF W R : $ 30,000
<br /> NUMBER OF DEVICES(if low oltage):
<br /> FIRE ALARM? 0 YES 0 NO
<br /> ASSOCIATED BUILDING PERMI if a 'cable):
<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: sTREEr 3107 Colby avenue
<br /> e,T,. 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 /> crry Everett STATE WA ZIP 9'%03
<br /> CONTRACTOR PHONE: 888-404-2882 CONTRACTOR EMAIL: travis@steeleec.com
<br /> CONTRACTOR LIC.#(REQUIRED): STEELEI841 CS CITY OF EVERETT BUSINESS LIC.#(REQUIR I):53663
<br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 425-876-7488
<br /> Travis Steele CONTACT EMAIL:travis@steeleec.com
<br /> AGREEMENT:I hereby certify that I 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 I am authorized by the owner of this property to perform the work for which application is made and I
<br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC.
<br /> City of Everett Official Use Only
<br /> OF OP PERMIT#
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<br /> Ow er/Aut ized Agent Signature41. Date /�7
<br /> (Revised 9/23/2016)
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