3003 W CASINO RD BLDG 40-37 2018-09-21

�ECTRICAL PERMIT AP�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits �� ., � � _ . -.. .: �:.�..;� �s.:� ..,.� . .;,,;,: : -_ � ._. . . b,a:.: .. PRo�ecr ao�Ress: 3003 West Casino Road Everett WA 98203 Buildin 40-37 Para et Li htin BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: Cffi COMMERCIAL USE OF BUILDING: y. `..�5 ��..�. ..e..... CONTRACT PRICE OF WORK: $1 O,OOO NUMBER OF DEVICES if low volta e : FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: 217150 - Re lace fixture heads on 40-37 Para et Li htin �/��// - ,: k"`�: . ��f 7a'a�i�.f'"��a'.� `�_:*.,; .r ' �:. , s . � .,:.. ,s/� ,,,,i� /,.,,..5„,-<..�. ___._: -,,...., _ , : .0 �p.�,.�..,Y �„�::..: ..� .,��,i,r,�,$'�„'/"�,'/�.;g;: d>AS„o,,T OWNER NAME: BO@IIl COCTI an TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F 09 ��n Seattle STATE WA Z�P 98124 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: FO Grou CONTRACTOR ADDRESS: srReeT 901 Powell Ave SW Suite 100 ��n Renton STATE WA Z,P 98057 CONTRACTOR PHONE: 206.437.6381 CONTRACTOR EMAIL: shannon.f f0 rou .net CONTRACTOR LIC.#�REQu�RE�>: FOYGRGC863LK ciTY oF everteTT ausiNess�ic.#�REQuiREo>: 044569 PRIMARY CONTACT: ❑OWNER I�CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 42�j.463.rj772 Aaron Mitchell CONTACT EMAIL: Aaron.m@foygroup.net AGREEMENT:T hereby certify that 1 have read and examined this application and know the same fo be frue and correct All provisions of/aws and ordinances goveming this type of work will be comp/eted whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE � �2� � signed by Shannon Fuller PERMIT# � US,E=Shannon.F@foygroup.net, � F� Group,OU=Project Manager, C �� 'n �, ]`� F n r �a � ci �e � = annon Fuller C �, (J FIECTRICAI I SOLAR I CONTROLS Owner/Authorizeq Agent Signature Date (Revised 10/12/2015)