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RECTRICAL PERMIT APPICATION <br />O;e7r CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />PROJECT ADDRESS: 3003 West Casino Road Everett WA 98203 buildin 40-32 <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - # OF UNITS: I& COMMERCIAL <br />USE OF BUILDING: <br />INE <br />CONTRACT PRICE OF WORK: $14,000.00 <br />NUMBER OF DEVICES if low voltage): <br />FIRE ALARM? ❑ YES ❑ NO <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />DESCRIPTION OF WORK: 216162 - Install UPS system in radio room <br />OWNER NAME: Boeing Company TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F 09 <br />wy Seattle STATE WA zip 98124 <br />OWNER PHONE: OWNER EMAIL: <br />CONTRACTOR NAME: Foy Group <br />CONTRACTOR ADDRESS: STREET <br />cny Seattle STATE WA zip 98117 <br />CONTRACTOR PHONE: 206.437.6381 CONTRACTOR EMAIL: shannon.Mfoygroup.net <br />CONTRACTOR LIC. #(REQUIRED): FOYGRGC863LK CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 044569 <br />PRIMARY CONTACT: ❑ OWNER DO CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE: 206.683.2038 <br />Miriam Saunders CONTACT EMAIL: mlriam.s@foygroup.net <br />AGREEMENT.. Thereby certify that/ have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br />type of work will be completed whether specked 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/ <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />F11) <br />�� �I' signed by Shannon Fuller <br />3r <br />: � ����1: US, E=Shannon.F@foygroup:net, <br />F Group, OU=Project Manager, <br />F O P G R c s 1 _� annon Fuller <br />ELECTRICAL I SOLAR I CORTROLS"'``` O'16.02.2208:59:11-08'00' <br />Owner/Authorized Agent signature Date <br />City of Everett Official Use Only <br />FEE <br />310-oo <br />PERMIT # <br />E 1(a0,�- DgU <br />(Revised 1011212015) <br />