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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.everettwa.gov/permits <br /> � � ;�: <br /> " <br /> ,,i ..�,,' -� �..,_. ���;'� . .. ..e.: �: • � � . . .....�W'r, . .c���e s�'��»�°��v a��i�� ':���Z..���,��rs��; <br /> PROJECT ADDRESS: 3003 W CaSlt10 ROaCI, Bldg 40-33 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) n�a SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: C011'll1'1@I'CIaI OfFIC@ SpaC@ <br /> � ��; ` �.,���� .: ,, ,, ,� <br /> � F„��,� af ��������„�k � <br /> R��,w � � �.��� ..�.•w. `� <br /> .:.r> .,.,�:. �, a <br /> a:,�, . <br /> CONTRACT PRICE OF WORK:$ Il/a <br /> NUMBER OF DEVICES if low voita e : 220 devices <br /> FIRE ALARM? ❑YES NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : InSt811 IOW VOlta e controls <br /> DESCRIPTION OF WORK: G12.5 L@V@I 1 <br /> �.��. ..�;- ���•���.s�... ,1�-`�,.�,. ��`'����i, ._.._., g������� .\ � ����� r���l�' <br /> " <br /> �c... �,, <br /> OWNER NAME: BO@Itlg COtllpatl�/ TENANT NAME If Commercial : <br /> OWNER MAILING ADDRESS: sTReer PO Box 3707 MS 1 F09 <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: FOY GPOUp <br /> CONTRACTORADDRESS: sTReer 2400 NW 80th Street, Ste 118 <br /> �,n Seattle STATE WA Z,P 98117 <br /> CONTRACTOR PHONE: 206-743-2444 CONTRACTOR EMAIL: W�/I12.I1 f0 roup.net <br /> coNrRacTOR uc.#�REQu�RE��: FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O�L4�J69 <br /> , w.a <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2�6-74,3-244,4 <br /> Wylie Hubbard CONTACT EMAIL: Wy�jg.h C�fOygl'OUp.I12t <br /> AGREEMENT.�I hereby certify that 1 have read and examined this application and know the same fo be frue and correck All provisions of laws and ordinances governing this type <br /> of work will be comp/eted whether specified herein or not. The granting of a permit does not presume to give authority to vio/ate 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 O�cial Use On/y <br /> � " PERMIT# <br /> 6/22/17 E '� �1.� -- �/ <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />