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P R IT APPLICATI N <br /> �EGTRICAL E M O <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everetfinra.gov� www.everettwa.gov/permits <br /> �.. .,� ... .... � �� <br /> � � ����`� � `\��� <br /> "����\�..... ..�:�„ .', ,.<' ...�.'^.,r: .•��...a. �� ��\��� <br /> ......... ���\\� �\�� <br /> �. ...� . ...s. „...: <br /> PRo�ecT ao�REss: 3003 West Casino Road Everett WA 98203 Buildin 40-05 Cubicle Demo/Install <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: BI COMMERCIAL <br /> USE OF BUILDING: <br /> � � /�, "�'���`��ea�c��Yd. <br /> ��,P'�"�s�����"�, �"M s\� .o�. . •',,. tea s����,� ���i.i���;:,.: • '...�.� �x����,....P;,. � ,�� �,r�3y�',�,'�.. �" <br /> CONTRACT PRICE OF WORK: $2,000 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: 21 7465 -40-05 Cubicle Demo/Install <br /> ,� , , <br /> ,� , <br /> ��� ��� k ,t�"y ��� <br /> �� �� <br /> ......� :� y •,:,� �....�. ,.... '�' .: ��. =ys <br /> ...:::... � � ; �,,, <br /> OWNER NAME: g021t1 COI'Tt al1 TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTReeT PO Box 3707 MS 1 F 09 <br /> ��TM Seattle STATE WA Z�P 98124 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: FO GfOU <br /> CONTRACTOR ADDRESS: srReer <br /> ��n Seattle sTATE WA Z�P 98117 <br /> CONTRACTOR PHONE: ZO6.437.63H� CONTRACTOR EMAIL: SIla11C1011.f f0 rou .net <br /> CONTRACTOR LIC.#(REQUIRED): FOYGRGCH63LK CITY OF EVERETT BUSWESS LIC.#(REQUIRED): O4.4rj69 <br /> PRIMARY CONTACT: ❑OWNER W ($I CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACTNAME: CONTACT PHONE: 425.463;5772 <br /> Aaron Mitchell coN-racT EM,ai�: Aaron.m@foygroup.net <br /> AGREEMENT.�T hereby certifythat 1 have read and examined this application and know the same to be true and correct. Al!provisions of laws and ordinances goveming 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 pertormance of constructioa That I am aufhorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Confractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> `�� ' � <br /> " ���'• signed by Shannon Fuller PERMIT# <br /> �3 pN US,E=Shannon.F@foygroup:net, <br /> �� ' $#'��F Group,OU=Project Manager, C ��r � y�/"�� <br /> F o �v c n r li a `�' �N annon Fuller � G � �� <br /> � '�*r-.. ' <br /> ELECTRICAL � SOL�R I CONTROtS�,�a�a% ; � <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />