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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
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<br /> PROJECT ADDRESS: 3003 W CaSlf10 ROad, 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: COI11C11@I"Clc'�I O'fFIC@ S�JE�IC@
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<br /> CONTRACT PRICE OF WORK: $ n/a
<br /> NUMBER OF DEVICES if low volta e : 70 d@VIC@S
<br /> FIRE ALARM? ❑YES NO
<br /> ASSOCIATED BUILDING PERMIT# if a licable : 111St811 IOW VOlta e controls
<br /> DESCRIPTION OF WORK: Install new Hone ell controls for HVAC-6
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<br /> OWNER NAME: BO@ICIg COI'Ylpall�/ TENANT NAME(If Commercial :
<br /> OWNER MAILING ADDRESS: sTReeT PO Box 3707 MS 1 F09
<br /> CITY STATE ZIP
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: FOY GPOUp
<br /> CONTRACTORADDRESS: srReer 2400 NW 80th Street, Ste 118
<br /> �,n Seattle STATE WA Z,P 98117
<br /> CONTRACTOR PHONE: 206-743-2444 CONTRACTOR EMAIL: Wyll@.I1�p f0 gfOUp.11@t
<br /> coNTw�,cTOR uc.#�REQu�REo>: FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044569
<br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 206-'�43-244,4
<br /> Wylie Hubbard coNracT ennai�: wylie.h@foygroup.net
<br /> AGREEMENT.�I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of/aws and ordinances governing this type
<br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cance/the provisions of any other state or
<br /> local law regu/ating construction or the performance of construction. That f am authorized by the owner of this property to pertorm the work for which application is made and 1
<br /> comply with the State Contracfors law 18.27 RCW and 296.200 WAC.
<br /> � City of Everett O�cial Use Only
<br /> �,, � '` PERMIT#
<br /> 11/8/17 E � �, — ���
<br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016)
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