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ELECTMCAL PEKWT APPUCAT�ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, VVA 98201 <br /> 425-257-8810 - FAX 425-257-8857 — wv"v.everettwa.org <br /> I-&V-I Ut� Lo-�- <br /> 3003 W. Casino Road Bld. Nla- 67r�W S hO()< C- lU <br /> - <br /> PROJECT ADDRESS <br /> Boeing Airplane Group Chicago, Illinois 60606 312-544-2000 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip <br /> Foy Group 2400 NW 80th St. SE #118 Seattle, WA 98117 206-937-6150 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> LIC #FOYGRGC863LK <br /> State License Number(required) City of Everett Business License Number(required) <br /> $6, 500 . 00 <br /> Proposed Use of Building Contract Price of'Afork <br /> Miriam Saunders 206 . 683 . 2038 <br /> Square Footage (if residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Repair lighting <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /hereby certify that/have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of 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/am authorized by the owner of this property to perform the E <br /> work for which application is made and I comply with the State Contractors Law 18,27 RCW and <br /> 296.200 WAC. <br /> Digitally signed by Shannon Fuller <br /> FEIJ DN:C=US,E=Shannon.F@foygroup.net,O=Foy Group, <br /> non Fuller <br /> Signature .... <br /> .. ---DaW= <br /> Date: M1 111012U7-6048102' <br /> REVISED 08/0612014 <br />