3003 W CASINO RD BLDG 40-21 2018-09-21

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/pei*rnits PROJECT SITE INFORMATION PROJECT ADDRESS: 3003 West Casino Road Everett WA 98203 Building 216218 LCP Upgrade BUILDING AREA(if residential, new construction, remodel, or addition)_ SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: DQ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $1,818.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 216218 - Install (1) Lighting Control Panel in Building 40-21 CONTACT INFORMATION OWNER NAME: Boeing Company _TENANT NAME(If Commercial): _ OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F 09 ciTY Seattle STATE WA zIp 98124 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: FoV Group CONTRACTOR ADDRESS: STREET 2400 NW 80TH STSuffite 118 cTv Seattle STATE WA zip 981 17 CONTRACTOR PHONE: 206.437.6381 CONTRACTOR EMAIL: shannon.f@foyq rou p.net _ CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044569 PRIMARY CONTACT: ❑ OWNER X CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206.683.2038 Miriam Saunders CONTACT EMAIL: miriam.s@foygroup.net 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 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 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 t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 99 - DLI DIAIly signed by Shannon Fuller a r a r DN:G=US, E-Shannp.net, PERMIT# O=Fpy Group,OU-Project Manager, GN=Shannon Fuller C O cA ELECTRICAL I SOLAR I CONTROLS Date: 18.02.22 08:59:11-08-00- Owner/Authorized Agent Signature Date (Revised 10/12/2015)