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PO # 215110 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />C150�`lO� <br />3003 West Casino Rd Everett WA 98204 Bldg. <br />PROJECT ADDRESS <br />Boeing Company PO Box 3707 MC OH-13 Seattle WA 98124 425-876-2594 <br />Owner Mad Address City Statelz'p Phone <br />Tenant Val Address City State/Z,p Phone <br />Foy Group 2400 NW 80th ST #118 Seattle WA 98117 206-937-6150 <br />Electrical Contractor Mad Address City Stale/Zio Phone <br />FOYGRGC863LK 044569 <br />State License Number (required) City of Everett Business License Number (required) <br />E 8.000.00 <br />Proposed Use of Building Contract Price of Work <br />Square Footage (If residential new construction, remodel or addition) Contact PersonlContacl Number/Email <br />Number of devices (If low voltage) <br />Description of Work to Be Done Conduit and wire installation for 45.04 Attic Electrical Panel <br />(PO. 215110) <br />Please include PO No in "Description of Work to Be Done" <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 L as D <br />0� <br />1 hereby certify that 1 have read and examined this application and know the same to be true and O� <br />correct All provisions of laws and ordinances governing this type or work will be completed <br />whether specified herein or not The granting of a permit does not presume to give authority to PERMIT# <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction That I am authorized by the owner of this properly to perform fire (9D/ _ - <br />work for which application is made and I comply with the State Contractors Law 16 27 RCW and l�/ <br />296 200 WAC <br />-��—� 06-16.15 <br />Signature Dale <br />REVISED OW&7014 <br />