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3003 W CASINO RD BLDG 40-09 2018-09-24
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3003 W CASINO RD BLDG 40-09 2018-09-24
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Last modified
9/24/2018 8:06:59 AM
Creation date
4/27/2018 8:33:29 AM
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Address Document
Street Name
W CASINO RD
Street Number
3003
Tenant Name
BLDG 40-09
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EI CTRICAL PERMIT APF CATION <br /> 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 217070 - 40-09 Conduit Re lacem ni <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: IN COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $1 1,500.00 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: 217070 - Pull wire between the 40-02 and 40-09 building, provide pathway <br /> for card readers in 40-09 building <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 STA` 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.fRfoygroup.net <br /> CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK ICITY OF EVERETT BUSINESS LIC. #(REQUIRED): 044569 <br /> PRIMARY CONTACT: ❑ OWNER DQ CONTRACTOR ❑ OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.463.5772 <br /> 11 Aaron Mitchell CONTACT EMAIL: 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 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 I am authorized by the owner of this property to perform the work for which application is made and I <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,F, i <br /> O=Foy Group,OU=Project Manager, C <br /> r O C <br /> r CN=Shannon Fuller <br /> -ELECTRICAL i SOLAR I CONTROLS Date:2016.02.2208x59:11-08'00' <br /> Owner/Authorized Agent signature Date (Revised 10/12/2015) <br />
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