145 ALVERSON BLVD 2016-07-26 - Laserfiche WebLink

4rEir 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 I www.everettwa.gov/permits ,n fes'. A� { PROJECT SITE INFORMATION2-rt----=----- `�`��` ..Er, ... .„m iizitt PROJECT ADDRE 216137 egion Conduit Install BUILDING AREA(i esidential, new construction, remodel, or addition) BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 21 COMMERCIAL USE OF BUILDING: 1 L3 k ,,,f„- v\ i1,\1 . -A,„ ELECTRICAL APPLICATION INFORMATION 7` `F CONTRACT PRICE OF WORK: $6,000.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): , DESCRIPTION OF WORK: 216137 - Install conduit for future use �)� jir/)y' (j'9/1O,,,�.AW sA'lI Cetiin w) pmx IL ,,,,\-3,-,-- a nater I ,, r I �i 1 RMI ` v.,.!•-,-,-,--- �n 'OWNER NAME: ny V vlf .4 I,/2. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET pp,pp��.pp�y�. CITY STATE ZIP 00124-1 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Foy Group CONTRACTOR ADDRESS: STREET 2400 NW 80TH ST Suite 118 CITY Seattle STATE WA ZIP 98117 CONTRACTOR PHONE: 206.437.6381 CONTRACTOR EMAIL: shannon.f@foygroup.net CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044569 PRIMARY CONTACT: 0 OWNER I$I CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206.683.2038 Miriam Saunders CONTACT EMAIL: miriam.s@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 pie, )� D Do 'aigitally signed by Shannon Fuller PERMIT# '; ��DN G.US E Shannon.F@foygroup.net, FoyGroup,OU=Project Manager, C} r),'"9- J P2,_ E o v N=Shannon Fuller ELECTRICAL I SOLAR I CONTROLS,. ,g016.02.22 08.69:11-08'00' Owner/Authorized Agent signature Date (Revised 10/12/2015)