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PO # 215182 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 3003 West Casino Rd. Everett, WA 98204 40-54 Bldg. <br /> PROJECT ADDRESS <br /> Boeing Company PO Box 3707 MC OH-13 Seattle WA 98124 425-876-2594 <br /> OwneP Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Foy Group 2400 NW 80th ST #118 Seattle WA 98117 206-937-6150 <br /> Electrical Contractor Maii Address City State/Zip Phone <br /> FOYGRGC863LK 044569 <br /> State License Number(required) City of Everett Business License Number(required) <br /> $ 3,000 <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: 45-334 EMC Boiler Replacement <br /> (PO: 215182) <br /> � Please include PO No. in "Description of Work to Be Done" <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �� <br /> l hereby certify that I have read and examined this application and know the same to 6e true and � "�� � � <br /> correct. All provisions of laws and ordinances governing this type of work wil/be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the ^ '�_ � � <br /> performance of construction. That 1 am authorized by the owner of this property to perform the �, �r 2� <br /> work for which application is made and l comply with the State Contractors Law 18.27 RCW and .J✓ <br /> 296.200 W,4C. <br /> c`_.__.._.--- <br /> - 06-24-15 <br /> Signature Date <br /> REVISED 08/O6/2014 <br />