Laserfiche WebLink
ECTRICAL PERMIT AP ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 ( (E)everetteps@everetfinra.gov� www.everettwa.gov/permits <br /> ��g�.y �� �, \ . . �.. <br /> ������a ����� ...:.;.,:, �, �,,�,� ;������,'�� '* `��� <br /> ` <br /> . �.. <br /> �`�,,....--. .`!a....:.F`a� .�. �. ,..ap;r,. ,E ,y,€<s�5..;,:, r.�... .....� ':. ..�. .� �' t,. <br /> PRo�ecraooRess: 3003 West Casino Road Everett WA 98203 Buildin 45-01 Vendin Machines <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑ MULTI-FAMILY-#OF UNITS: I$I COMMERCIAL <br /> USE OF BUILDING: <br /> t t r <br /> �` � , ,,"�„E,� ���� �:' s�"a`.'.`.�v�`"r <br /> � <br /> CONTRACT PRICE OF WORK: $1,666 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> �EscRiPrioN oF woRK: 217468 - Provide outlets for new vendin machines <br /> ��u L � :, ���e��.�� � ���� <br /> ��..� � . � ��� � � <br /> �;,;� ;��� <br /> OWNER NAME: 802111 C0111 an TENANT NAME If Commercial): <br /> OWNER MAILING ADDRESS: sTReer 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 /> ciTr Seattle STATE WA Z�P 98117 <br /> CONTRACTOR PHONE: ZO6.437.638� CONTRACTOR EMAIL: SIla1lnOCl.f 'f0 rou .net <br /> coNTRacroR uc.#�REQu�REo�: FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O4Q�rj69 <br /> ,,,. , , � �, , . , <br /> PRIMARY CONTACT: ❑OWNER ISl CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 42rj.4,63.rj772 <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. AI!provisions of/aws and ordinances goveming this <br /> type of work will be comp/eted whether spec�ed herein or not. The granting of a permit does not presume to give authority to vio/afe or cance/the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Officia/Use Only <br /> FEE <br /> �2,�g <br /> signed by Shannon Fuller PERMIT# � <br /> � US,E=Shannon.F�foygroup.net, � ��,^ � �� <br /> F Group,OU=Project Manager, L <br /> F o v c x a � � = annon Fuller <br /> EIECTRICAt I 80LAR I CONTRULS <br /> Owner/Authorized Agent signature Date (Revised 10/12/2015) <br />