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ELECTRICAL PERMIT APPLICATION <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.everetfinra.gov/permits <br /> `� :..:. .... , � � . �� 1 �`f�.��"� .�..., � €. � `� �,'�� ��.� ���\�..��\ \ , <br /> •, � <..-.,. <br /> �� �"�'� ��� . � <br /> `�:��.... . ��.....�. .. . a,., .:.� .. <br /> , <br /> ..,� , . <br /> _,:. .. . .. . .., - ... �. �. � � �.,m .e <br /> PRo�ecT a��Ress: 3003 West Casino Road Everett WA 98203 217140 Buildin 40-33 Win Ma'or Ventilati <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑ MULTI-FAMILY-#OF UNITS: I�I COMMERCIAL <br /> USE OF BUILDING: <br /> � �. �� ��; ������ ,x„� � � <br /> � � :._. � ,` <br /> � <br /> ; '� ,,�, Y <br /> c.< � � <br /> CONTRACT PRICE OF WORK: $43,000 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSOCIATED 6411LDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: 217140 - Buildin 40-33 Win Ma"or Ventilation rovide ower and VFD's <br /> for 2 machines <br /> .,,_P <br /> .; <br /> �. _ , � � �� �= x'���s � <br /> � �� � r, � `��.� � ,., �, Q ,A'#"'1�.�1 � y',;�, ���, �� <br /> a �; <br /> �_u_ . �. �..�; . ,, � <br /> OWNER NAME: BO@IC1 C01'T1 an TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srReer PO Box 3707 MS 1 F 09 <br /> ��n Seattle STATE WA Z�P 98124 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: FO Grou <br /> CONTRACTOR ADDRESS: sTReer <br /> ��n Seattle STATE WA Z�P 98117 <br /> CONTRACTOR PHONE: ZO6.437.635� CONTRACTOR EMAIL: SIla11C10C1.f 'FO t'OU .Cl@t <br /> coNTRacroR uc.#�REQu�RE��: FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O44rj69 <br /> ., ,..... .,,. �. �...__o <br /> PRIMARY CONTACT: ❑OWNER ($I CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: t�2rj.463.rj]72 <br /> Aaron Mitchell coNracT 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 correct. All provisions of laws and ordinances governing this <br /> rype of work will be completed whefher spec�ed herein or not The granting of a permit does not presume to give authorify to viofate 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 /> �� �� <br /> signed by Shannon Fuller PERMIT# <br /> � US,E=Shannon.F@foygroup.net, <br /> F Group,OU=Project Manager, C <br /> p o v s n o u €� = annon Fuller C t �Co�i2 <br /> ELECTRICAL I SOL�R � CUNTROIS+- <br /> Owner/Authorizetl Agent Signature Date (Revised 10/12/2015) <br />