3003 W CASINO RD BLDG 40-02 2019-09-04

4177- ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3003 West Casino Road, Everett, WA 98203 Building 40-02 Row D Columnl3 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 21 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $32,800 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 219022 - Provide (12) additional 110v electrical drops. Row D Columnl3 CONTACT INFORMATION OWNER NAME: Boeing Company TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F 09 CITY Seattle STATE WA ZIP 98124 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Foy Group CONTRACTOR ADDRESS: STREET 901 Powell Ave SW Suite 100 CITY Renton STATE WA ZIP 98057 CONTRACTOR PHONE: 206.437.6381 CONTRACTOR EMAIL: shannon.f@foygroup.net CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044569 PRIMARY CONTACT: ❑OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206.437.6381 Shannon Fuller CONTACT EMAIL: Shannon.f©foygroup.net AGREEMENT:T 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 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 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE Ri Dig/td)ky signed by Shannon Fuller PERMIT# DN C=US E=Shannon.F@foygroup.net, O Foy Group,Fuller Prosect Manager, E r o v CN Shannon Fuller (v� ELECTRICAL SOUR CONTROLS, Date:2016.02.2208.59.11-08'00' Owner/Authorized Agent signature Date (Revised 10/12/2015)