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

�ECTRICAL PERMIT A�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everetfinra.gov� www.everettwa.gov/permits :� � � � � -'� 4 . �t �:: � ; �r . . � �� p ��i� r ` "�.. � a� � � � �,:,, "� �� ai, �a,. �'�� PRo�ECTaooRess: 3003 West Casino Road Everett WA 98203 Buildin 216218 LCP U rade BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: I�(COMMERCIAL USE OF BUILDING: _ � \� k 3,. ��^, CONTRACT PRICE OF WORK:$1,818.00 NUMBER OF DEVICES if Iow volta e : FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIP710N OF WORK: 216218 - ItlStall 1 Li htin Control Panel in Buildin 40-37 �`Z� �� rE e.,� � �\�z�- ��y�� ,� � �� ,� �� „�,>: .< '� - � .< �� _ ....�: :: . : , �,» ? .. . �. :_ � ..,.... :z.E,..,.,,,,.. v,•. �..�:.�-.:. ,k..s i OWNER NAME: BO@111 COt11 atl TENANT NAME(If Commercial : OWNER MAILING ADDRESS: srReer PO Box 3707 MS 1 F 09 ��n Seattle STATE WA Z�P 98124 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: FO Grou CONTRACTOR ADDRESS: srReer ��n Seattle STATE WA Z�P 98117 CONTRACTOR PHONE: ZO6.437.638� CONTRACTOR EMAIL: SIIaCIIIOCI.f f0 rou .net CONTRACTOR LIC.#(REQUIRED): FOYGRGCH63LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O44�j6Q ., ..,... ,.. ........ . ......... PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2O6.6S3.ZO3H Miriam Saunders coNracT ennai�: miriam.s@foygroup.net AGREEMEN7:�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 governing this type of work will be completed 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 sfate or /oca/law regulating construction or the performance of construction. That l am authorized by the owner of this property to pertorm fhe 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 �1�-- �`� signed by Shannon Fuller PERMIT# � US,E=Shannon.F@foygroup.net, � �� F Group,OU=Project Manager, F o r €� a 6 a a = annon Fuller .�— ELECTRICAL � SUt�R � CONTROIS ' Owner/Authorizetl Agent Signature Date (Revised 10/12/2015)