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To�. F'aye S oT S GO'1 �l-07-'14 �7:0�:'IS (GMT) '18006480�5�11 Frorri: Foy Group <br />� <br />ELECTRICAL PEi�MIT APPLICATIC�N <br />CiTY OF EVERETT PERMIT SERVtCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br />� l��� ��� c,� �r � 1 i L`� .�i��^e �f � l� � ��'� C� l <br />� <br />PROJECT ADDRESS <br />v-�������- �-, <br />Owner <br />6;� ,--, '� <br />d�!/ <br />Tenant <br />Foy Group <br />Electrical Contractor <br />FOYGRGC863LK <br />State License Number <br />Mail <br />I <br />Mail Address <br />, �"V'���%�- r/� <br />City <br />c�cy <br />2400 NW 80th Street #118, Seattle <br />Mail Address City <br />Proposed Use of Building <br />� � � 5 = � ��'� �� �r.�� <br />Square Footage (If residen �I new construction, remodel r addition) <br />,� <br />Number of devices (If low valtage <br />Description of Work to Be Done; <br />; ���� i1� 1'�' �� �'`P � r�l� ( G7( G�yTx-�/ � /� L'r�i � <br />-� r r <br />, ���`�-_�� �a / �-� �� �_. <br />Sia te21 p <br />State/Zip <br />Phone <br />Phone <br />WA/98117 206-937-6150 <br />Siate/Zip Phone <br />l},- c� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />FEE <br />CITY QF EVERETT LOCAL SALES TAX CODE IS 3105 � o C�� <br />I hereby cerfify fhat 1 have read and examined this application and know the same fo 6e true and <br />correct. AJl provisions of taws and ordinances goveming this type ot work wiIl be cornpleted <br />wheiher specified herein or not. The granting of a permit does not presume ta give authority to PERMIT# <br />violate or cancel the provisions of any other staie or locaJ law regulafing construction or fhe <br />performance of consfatction. That I am authorized by the owner of this property to perform ffre E C l� (`�' _/^��� <br />woric for which application is made and 1 comply wifh the State Contracfors Law 18.27 RCW and �/ �� <br />296.200 WAC.I <br />. <br />REVISE� 3/20/13 <br />�,-- /��- / <br />