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/:, ELECTRICAL PERMIT APPLICATION
<br /> ,441 , CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwagovtpermits
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<br /> PROJECT ADDRESS:2731 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 el MULTI-FAMILY-#OF UNITS:4 0 COMMERCIAL
<br /> USE OF BUILDING: appartments
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<br /> CONTRACT PRICE OF WORK: $ 30,000
<br /> NUMBER OF DEVICES(if low voltage):
<br /> -FIRE ALARM? ❑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.
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<br /> 'OWNER NAME:Everett housing authority TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET 3107 Colby avenue
<br /> crry Everett STATE wa ZIP 982
<br /> 01
<br /> OWNER PHONE: 425-258-9222 OWNER EMAIL:
<br /> CONTRACTOR NAME: Steele electric inc
<br /> CONTRACTOR ADDRESS: sTREET4722 Bayview Lane
<br /> crry Everett STATE WA ZIP 98203
<br /> CONTRACTOR PHONE: 888-404-2882 CONTRACTOR EMAIL: travis@steeleec.com
<br /> CONTRACTOR LIC.#(REQUIRED) STEELEI841 CS ,CITY OF EVERETT BUSINESS LIC.#(REQUIRED):53663
<br /> PRIMARY CONTACT: 0 OWNER_..�0 CONTRACTOR.... 0., fy , .2 .._...r .... ..
<br /> 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 /> / / PERMIT#
<br /> iv aq .„,„... 7/4// E 1201 tL 1-
<br /> Owner/Aut,•rized Agent Signature I iI
<br /> Date (Revised 9/23/2016)
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