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

I—LECTRICAL PERMIT APia WICA,TI®Iv 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/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3003 W. Casino Rd Everett, WA. Bldg. 40-21 ACU-8 BUILDING AREA(if residential,new construction, remodel, or addition) SF y BUILDING TYPE: 11SFR-DETACHED ElSFR-ATTACHED El DUPLEX E] MULTI-FAMILY-#OF UNITS: L"f COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): Less then 70 Devices FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable).- DESCRIPTION pplicable):DESCRIPTION OF W stall new HW controls for ACU-8 40-21 .5 Job Name: 40-21 ACU-8 C CT INFORMATION OWNER NAME: Boeing Company TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F 09 CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Foy Group CONTRACTOR ADDRESS: STREET 2400 NW 80TH ST Suite 118 CITY STATE ZIP CONTRACTOR PHONE: 206-743-2444 CONTRACTOR EMAIL: andl.r@foygroup.net CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044569 PRIMARY CONTACT: ❑ OWNER EXCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-743-2444 Wylie Hubbard CONTACT EMAIL: wylie.h@foygroup.net AGREEMENT.'Thereby certify that[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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE Digitally signed by Wylie M.Hubbard PERMIT# DN:oy GroUS, p,CNehylie M.oup.net, 1� Wylie M. Hubbard O=Foy Group,CN=Wylie M Hubbard 1110117 Date:2016.12.12 14:19:37-08'00' OwneriAuthorized Agent Signature Date (Revised 90/12/2015)