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3003 W CASINO RD BLDG 40-41 2023-04-06
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3003 W CASINO RD BLDG 40-41 2023-04-06
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Last modified
4/6/2023 10:41:17 AM
Creation date
4/6/2023 10:41:10 AM
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Address Document
Street Name
W CASINO RD
Street Number
3003
Tenant Name
BLDG 40-41
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OPECTRICAL PERMIT APPLIATION <br /> 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 I www.everettwa.gov/permits <br /> OrErr <br /> . .. -. 4:1\ 7i\ :°: ECM,„, IMNI .. TION \ aL. gig* i. ,.L.. <br /> PROJECT ADDRESS: 3003 W Casino Road Bld 40-41 OW 1 BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTIS_+ . ❑ADDITION ❑TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑SFR ❑ ram HOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> I'- I 1F..,..,:. : °. P'::I t. S. a - 'I d# a.K--- . -M \, <br /> CONTRACT PRICE OF W$- G` - <br /> ‘2‘,-, ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIBE SCOPE O ORK: <br /> Install new Hone ell controls for Cooling Tower <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? ❑✓ NO - Er--E,Er Select rvice ❑ Feeder El Circuits-#: El Complete Re-wire <br /> LOW VOLTAGE WORK? ❑ NO ❑✓ YES-#of Devices:`70 <br /> SELECT SCOPE(REQUIRD). ❑ Data ❑ Intercom - ostat ❑Audio ❑ Secure Access ❑ Security System <br /> El Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional <br /> Fire Alarm Permit is required for review of device location and installation approval. <br /> ✓❑Other(List All):HVAC Controls <br /> CODE COMPLIANCE = ., , , <br /> IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑ NO ❑YES--See Below&Pg. 2 <br /> By checking this box, I am stating that I have read and understand all of WAC 296-46B-900,selected the specific reason on page 2 <br /> of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not <br /> See Page 2 require Plan Review. <br /> ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ENO EYES-See Below&Pg. 3 <br /> Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent, sale, or lease <br /> without the proper electrical licensing and certification, or exemption. By checking this box, I am stating that I have completed and <br /> See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. <br /> OWNER NAME: Boeing Airplane Group TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F09 <br /> CITY Chicago STATE III. ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Foy Group <br /> CONTRACTOR ADDRESS: STREET2400 NW 80th Street, Ste 118 <br /> CITY Seattle STATE wa ZIP 98057 <br /> CONTRACTOR PHONE:206-743-2444 CONTRACTOR EMAIL:wylie.h@foygroup.net <br /> CONTRACTOR LIC.#(REQUIRED):FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED) 044569 <br /> PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-743-2444 <br /> WyI i e Hubbard CONTACT EMAIL:wylie.h@foygroup.net <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 <br /> 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 <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. City of Everett Official Use Only <br /> PERMIT#: l <br /> ,--,,,r4- 6.-0--4"*"''''''': E ,(=ACI4 - <br /> --cl., <br /> Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application <br />
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