3003 W CASINO RD BLDG 40-86 2018-09-21

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everetfinra.gov� www.everetfinra.gov/permits � �, �� . . « �, �, � ,.:.� �� ��w ....;,,. ��,<,., £ ,.; . � � ,� � �•, . � �. PRo�ecT a��REss: 3003 West Casino Road Everett WA 98203 Buildin 40-86 Short Circuit BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: R�COMMERCIAL USE OF BUILDING: >;� ,,a,:• , ;,,a ` .ry �a � � ,.;.. . ,��,. ,, l ,� �-: ' `°� ` _�� ,:� .� � �� . � � �x � a•.,.�..� , CONTRACT PRICE OF WORK: $24,000 NUMBER OF DEVICES if low volta e : FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: 217335 -40-86 Short Circuit re lace existin anelboard '�v ��h. , �� a�.`a> ,�`;,�.. �+� ;3 5 x � � �� .. N r y ��. .,R�Q w,-,'4»� � f.� owl �.:�i„ _°^a !d%', OWNER NAME: BO@Itl COI11 all TENANT NAME If Commercial : OWNER MAILING ADDRESS: sTReer PO Box 3707 MS 1 F 09 o�n Seattle STATE WA Z�P 98124 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: FO Grou CONTRACTORADDRESS: sraeer 901 Powell Ave SW Suite 100 ��n Renton STATE WA Z,P 98057 CONTRACTOR PHONE: ZO6.437.63H'I CONTRACTOR EMAIL: Sllaflt1011.f f0 rou .net CONTRACTOR LIC.#(REQUIRED): FOYGRGCS63LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O44rj69 . _ �, PRIMARY CONTACT: ❑OWNER I$�CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.463.�j772 Aaron Mitchell coNracT eMai�: Aaron.m@foygroup.net AGREEMENT.�T hereby certi(y that/have read and examined this application and know the same to be true and correct. All provisions of/aws and ordinances goveming this type of work will be completed whether spec�ed herein or not. The granting of a permit does not presume to give authorify to violate or cancel the provisions of any other state or /oca/law regu/ating 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 l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use On/y FEE � � v �s signed by Shannon Fuller PERMIT# � US,E=Shannon.F@foygroup.net, F Group,OU=Project Manager, E 1 �C 2 � � \ F o v s �z e u a = annon Fuller EIECTRICAt I 3��Ffl � CONTNOLB Owner/Authorized Agent Signature Date (Revised 10/12/2015)