3003 W CASINO RD BLDG 40-58 2023-12-06

4:77- EllitECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I vwvw.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3003 West Casino Road, Everett, WA 98203 Building 40-58 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: D SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS EX COMMERCIAL USE OF BUILDING: EILECTR + AL APPLICATION 11400014MON CONTRACT PRICE OF WORK: $40,000 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 218178 - Provide Power to Fives Lines Machinery 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 ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.463.5772 Aaron Mitchell CONTACT EMAIL: Aaron.m@foygroup.net AGREEMENT:T hereby certify that 1 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 6 0 Digitally signed by Shannon Fuller PERMIT# ON C=US,E=Shannon.F@foygroup.net, CNFShannon,OU=Project Manager, C n v CN=Shannon Fuller C E LE CTP IC At SOEA0. CONTROLS.OLS Date:2016.02.2208,59'11-08'00' Owner/Authorized Agent Signature Date (Revised 10/12/2015)