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ELECTRICAL PERMIT APACATION <br /> �y CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 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 40-04 <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: $6,500.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑ YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: 216129 Building 40-04 Provide and install new 60A CB, non fused <br /> disconnect and receptacle. <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing Company TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F 09 <br /> CITY Seattle STATE WA zip 98124 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Foy Group <br /> CONTRACTOR ADDRESS: STREET 2400 NW 80TH ST Suite 118 <br /> CITY Seattle STATE WA zip 98117 <br /> CONTRACTOR PHONE: 206.437.6381 CONTRACTOR EMAIL: shannon.fafoygroup.net <br /> CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 04.45569 <br /> PRIMARY CONTACT: ❑OWNER X CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206.683.2038 <br /> Miriam Saunders CONTACT EMAIL: mirlam.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/am authorized by the owner of this property to perform the work for which application is made and/ <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 /> DN C=US,E=Shannon F@foygroup.net, <br /> O=Foy Group,OU=Project Manager, ( n <br /> F u r CN=Shannon Fuller E I I y1 J Ii <br /> [LECTRICAL i SOLAR I CONTROLS Date:2016.03.29090432-07'00' l 111 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />