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&CTRICAL PERMIT APACATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT,SITE INFORMATION, <br /> PROJECT ADDRESS: 3003 West Casino Road, Everett, WA 98203 Building 45-232 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $4,500.00 <br /> NUMBER OF DEVICES (if low volta e): <br /> FIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 216082 Building 45-232 Provide and install 30A disconnect, power for heat <br /> pumps <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing CompanyTENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO BOX 3707 M$ 1 F 09 <br /> CITY Seattle STATE WA zip 98124 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Foy Orou <br /> CONTRACTOR ADDRESS: STREET 2400 N)N &OTH ST Suite 11Q <br /> CITY Seattle STATE WA zip 98117 <br /> CONTRACTOR PHONE; 2Q6.437.6381 CONTRACTOR EMAIL: shannon.fafoygroup.net <br /> CONTRACTOR LIC.#(REQUIRED): F6GRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044.569 <br /> PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206.683.2038 <br /> Miriam Saunders CONTACT EMAIL: miriarn.s@foygroup.net <br /> 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 <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. <br /> City of Everett Official Use Only <br /> FEE <br /> Digitally signed by Shannon Fuller PERMIT# <br /> ISN C=US,E=Shannon.F@foygroup.net, <br /> �F(,j Group,OU=Project Manager, ftab/L,G C <br /> E o T K r CN Shannon Fuller <br /> -ELECTRICAL I SOLAR I CONTROLS" <br /> L ,Rate 1016.02.22 M59:11 '00' <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />