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�LECTRICAL PERMIT AP�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov � www.everetfinra.gov/permits <br /> �������� . ��� � � ��� ����� �. ��.�_ <br /> z ., <br /> .:..�. . .: ��__: � �Y�:_. �,; ���� <br /> E� �. <br /> PRo�ecT ao�Ress: 3003 West Casino Road Everett WA 98203 Buildin 40-05 Palletized Racewa s <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑ MULTI-FAMILY-#OF UNITS: l�Il COMMERCIAL <br /> USE OF BUILDING: <br /> � <br /> , �:�:�_ �� ..f '�• SE r�° ��. � ��������s'� a x�'� .. <br /> �. \ � a.3'. .�... ��.� � g... `o <br /> ..,. .,., . .. �..- ,.. .. ,�,.., .. .<.�..... .>.. .......... .. : ....., � <br /> ..... . .... .�.:_.- <br /> CONTRACT PRICE OF WORK:$ , O � 8� <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: 217385 - Provide ower to alletized racewa s <br /> .�f/ \ \�Z �� yry��� � ��� \\y � <br /> �. <br /> , . ,:. .��', �"7�' <br /> �� ''\ ' �. .������.. �� ��� <br /> OWNER NAME: BOGItI COt11 8t1 TENANT NAME If Commercial : <br /> OWNER MAILING ADDRESS: sTReeT PO Box 3707 MS 1 F 09 <br /> ��N Seattle STATE WA Z�P 98124 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: FO Grou <br /> CONTRACTOR ADDRESS: sTReeT <br /> ��n Seattle STATE WA Z�P 98117 <br /> CONTRACTOR PHONE: ZO6.437.63H'I CONTRACTOR EMAIL: ShalltlOtl.f f0 rou .net <br /> coNTw�cTOR uc.#�REQuiRE�>: FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O4Q��j69 <br /> � .._ w .�._.�.� ,.. .,.. o...�. . .,. .�....� w <br /> PRIMARY CONTACT: ❑OWNER I�CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.463.rj]72 <br /> Aaron Mitchell coNTacT ennai�: Aaron.m@foygroup.net <br /> AGREEMENT.•T hereby certify that I have read and examined this application and know the same to be true and crorrect. All provisrons of/aws and ordinances goveming this <br /> type of work will be completed whether spec�ed herein or not. The granting of a permit dces not presume to give authority to vio/ate or cance/the provisions of any other state or <br /> local law regulating construction or the pertormance of construction. That/am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with fhe State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE � <br /> ��oo � <br /> � signed by Shannon Fuller PERMIT# <br /> � US,E=Shannon.F@foygroup.net, � � <br /> F Group,OU=Project Manager, i ��Q i 1 � <br /> F o r c � u u a = annon Fuller I � <br /> fLECTRICAt I $O��R � CONTROlB - <br /> Owner/Authorizetl Agent Signature Date (Revised 10/12/2015) <br />