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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 /> _ <br /> ,. <br /> ._, <br /> �q ., <br /> . . .n� .... , � . <br /> PRo�ec-r a��Ress: 3003 West Casino Road Everett WA 98203 40-37 HWP VFD Re lacement <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: C�COMMERCIAL <br /> USE OF BUILDING: <br /> �;.. <br /> '�, �• �i;,p x ' . 4''.�4�b�!� ���\k� s N <br /> .:\ <br /> �: ,: :{ . .,- ' ; a� <br /> .... �.:. �... � .....:,:..� ...o�::; n�.K a.� .�:.� .n...,r�. c .......�.:;.a::, ts�a�•, ......^ r�s; <br /> CONTRACT PRICE OF WORK: $18,000 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: 217329 - Re lace V T r S U'e d`f�GI r �Y"� (�8+�� �o �/�S <br /> � v� � , �� <br /> s:: ��� ��� �,,� i z <br /> � � ..a:�:�,:_���. =-:F.: � �i .,���3 J..� ��,";�. �,> � a <br /> OWNER NAME: BO@Itl C0111 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 /> CONTRACTOR ADDRESS: srReer <br /> ��N Seattle STATE WA Z�P 98117 <br /> CONTRACTOR PHONE: ZO6.43T.638� CONTRACTOR EMAIL: SllallllOfl.f f0 rou .net <br /> CONTRACTOR LIC.#(REQUIRED): FOYGRGCS63LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O44�j69 <br /> _ <br /> PRIMARY CONTACT: ❑OWNER I8�CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 42rj.4.63.�j772 <br /> Aaron Mitchell coNracT ennai�: 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 goveming this <br /> type of work will be completed whether speci�ed herein or not. The granting of a permit does not presume to give authority to vio/ate or cance/the provisions of any other state or <br /> local law regulating construction or the performance of construction. That/am authorized by the owner of this property to perform the work for which applicafion is made and I <br /> comply with fhe State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use On/y <br /> FEE <br /> ��D o� <br /> signed by Shannon Fuller PERMIT# <br /> � US,E=Shannon.F@foygroup.net, <br /> F Group,OU=Project Manager, r ����1 � ,y��� <br /> F n x s re u � a = annon Fuller C (/ <br /> ELECTRICAL � SOL�R I CUNTROt8� <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />