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�LECTRICAL PERMIT �LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everetfinra.gov � www.everettwa.gov/permits <br /> ���� �\.� X � ': �-, :. ':.;�.\\ .. _■� .: .: »��EI� u �� �� . \\ ��a M <br /> ... . ����: .. .. �\:�e"' H,_*"�.....'. .. .' , .:_�_ �..�.•...n�I�,..�. �'�.,. _ ... .�..�:..�.��."a�\... ,�`.: .\\���... <br /> PRo�ecTa��Ress: 3003 West Casino Road Everett WA 98203 Buildin 40-33 Facto Shift Bell <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑ MULTI-FAMILY-#OF UNITS: I$1 COMMERCIAL <br /> USE OF BUILDING: <br /> �;'� ` �'\� . ..., '�.h, l � � K �i1 �'! � 1�..'.':.� 4��.� f .+�. <br /> '�> \ .e"Y��'S,��'�;{rHY�,?s�a�;���y[�i���: .��T.s���m.�s� �� �1�.�.,� �� � <br /> CONTRACT PRICE OF WORK: $6,000 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: 217442 - Provide ower to new facto shift bells <br /> .. ;; r�� , �, . '; �. , nr�'i'1'�'.���/ .�� T. <br /> � ' �� <br /> r . a � <br /> y r .w� 3 <br /> =-.� :%, ,.- : ��. <br /> „ .,.,,., -�h . .. ` . . . , . �- ,. :_. ,l:�i w�-..C����� �� ��y�.aie'�F.,7/..,P,. \��M <br /> �:.. �.. <br /> OWNER NAME: BOeltl COI'Tl an TENANT NAME(If Commercial : <br /> OWNER MAILING ADDRESS: srReeT PO Box 3707 MS 1 F 09 <br /> ��n Seattle STATE WA Z�P 98124 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: FO Grou <br /> CONTRACTORADDRESS: srReer 901 Powell Ave SW Suite 100 <br /> o�n Renton STATE WA Z,P 98057 <br /> CONTRACTOR PHONE: ZO6.437.63$'I CONTRACTOR EMAIL: Sllallt1011.f f0 rou .net <br /> coNTRacTOR�ic.#�REQu�REo>: FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(RE(2UIRED): O44rj69 <br /> .. ., �.� .. . _ _.._.. ...__ .. . .. . .� �.w. <br /> PRIMARY CONTACT: ❑OWNER I�CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2O6.6H3.ZO3. <br /> Miriam Saunders coNTACT eMai�: Miriam.S@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 goveming this <br /> type of work will be completed whether specified herein or nof. The granting of a permit does not presume to give authority to violate 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 1 <br /> comply wifh the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> T1 �D r�� <br /> signed by Shannon Fuller PERMIT# <br /> �'^US,E=Shannon.F@foygroup.net, � <br /> F Group,OU=Project Manager, C � ���i� <br /> F o r � rt o u a �� = annon Fuller C <br /> ��. .,z <br /> EIECTRICAL 1 SOL�R I C�NiROtB� � . . <br /> Owner/Authorizetl Agent Signature Date (Revised 10/12/2015) <br />