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ELECTRICAL PERMIT APPLICATION <br /> -4410 j-, CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT ADDRESS: 2729 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 0 MULTI-FAMILY-#OF UNITS:4 ❑COMMERCIAL <br /> USE OF BUILDING: appartments <br /> '.,F k T 1 ,„ „ <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. <br /> �'��i�,kk.,�+ ,..,,d < .. ., . . ., .v .. •k:i .. .. ... ,,., ,. .J,r „w,. . , x�a, i� wi, t s't.,Y ,,, e ,!.,, .. <br /> OWNER NAME:Everett housing authority TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3107 Colby avenue <br /> c„<,. Everett STATE wa ZIP 98201 <br /> OWNER PHONE 425-258-9222 I OWNER EMAIL: <br /> CONTRACTOR NAME: Steele electric inc <br /> CONTRACTOR ADDRESS: STREET4722 Bayview Lane <br /> CITY Everett STATE WA ZIP 98203 <br /> CONTRACTOR PHONE: 888-404-2882 I CONTRACTOR EMAIL: travis@steeleec.com <br /> CONTRACTOR LIC #(REQUIRED) STEELEI841 CS ICITY OF EVERETT BUSINESS LIC.#(REQUIRED):53663 <br /> PRIMARY CONTACT: ❑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 lam authorized by the owner of this property to perform the work for which application is made and l <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> ( PERMIT# <br /> 74 E <br /> O er/Autho% ed Agent Sign. Date I (Revised 8/23/2016) <br />