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ECTRICAL PERMIT AP�CATION <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.everettwa.gov/permits <br /> � ���� �� , ��� � ��.:. �:. '' ��,�. <br /> ,.,. . , ,, �. m <br /> w.. . .,:�,sa�.. . '.�..e � .. .: .....:. . ....... _.....� . .. .... <br /> :.��.�.:. <br /> PRo�ecT a�oRess: 3003 West Casino Road Everett WA 98203 Buildin 40-22 Freezer <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: �Il COMMERCIAL <br /> USE OF BUILDING: <br /> �_t a �� : � � !�'4..; ? �� ...�, .� ���`� �. . '� ����v...� �.'�'�� . ,. <br /> ���2�� ,1�,... "5.,. ,\.\.. �, �� f.�f,l�e�'�'u» '�?'�v�@ <br /> CONTRACT PRICE OF WORK: $10,000 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: 217477 -40-22 PI"OVlde GIGCtCICaI SU ort of freezer install <br /> � � e h`�� ��I�T��T l�F�� � ���`�%N ��� � ����������' ` .������ <br /> OWNER NAME: BO@I11 COtl1 an TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srReer 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: sTReer g01 Powell Ave SW Suite 100 <br /> ��n Renton STATE WA Z,P 98057 <br /> CONTRACTOR PHONE: ZO6.437.638� CONTRACTOR EMAIL: SllalltlOtl.f fo rou .net <br /> coNTwe,cTOR uc.#�REQu�Re�>: FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O44�j6Q <br /> ...r.. �...... .,.. <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.t�,63.rj772 <br /> Aaron Mitchell coNTacT eMai�: 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 correck All provisions of laws and ordinances governing fhis <br /> type of work wil!be completed whether specified herein or nof. The granting of a permit does not presume to give aufhority to violafe 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 pe�form fhe wo�k 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 /> 2 SO --� <br /> � ' � signed by Shannon Fuuer PERMIT# <br /> �� , US,E=Shannon.F@foygroup.net, <br /> �� �.��F Group,OU=Project Manager, C �,('y /�,� `'� <br /> F o v r, a � � ? �;�': CN= annon Fuller � �,U L � <br /> EIECTRICAt ( SOtAR I CONT&OLS <br /> Owner/Autnorized Agent Signature Date (Revised 10/12/2015) <br />