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%ECTRICAL PERMIT AFf_ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS3003 West Casino Road Everett WA 98203 Building 216512 - 45-01 Install Electrical Pain <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: CK COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $33,000.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑ YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: 216512 -45-01 Provide power to new paint shakers Column L-P/3-7 <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing Company TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sr.EET PO Box 3707 MS 1 F 09 <br /> CITY Seattle STATE WA z,P 98124 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Foy Group <br /> CONTRACTOR ADDRESS: STREET 2400 N\/\/ 80TH ST Suite 118 <br /> CITY Seattle STATE WA zip 98117 <br /> CONTRACTOR PHONE: 206.437.6381 CONTRACTOR EMAIL: shannon.fpfoyq roup.net <br /> CONTRACTOR LIC. #(REQUIRED): FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044569 <br /> PRIMARY CONTACT: ❑ OWNER DQ CONTRACTOR ❑ OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.463.5772 <br /> Aaron Mitchell CONTACT EMAIL: 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. All provisions of laws and ordinances governing this <br /> 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 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 Official Use Only <br /> FEE Q <br /> Digitally signed by Shannon Fuller PERMIT# <br /> ON C=US,E=Shannon.F@foygroup.net, <br /> O-Foy Group,OU=Project Manager, V <br /> C 1� <br /> E o r tt LE LI ? CN=Shannon Fuller G <br /> ELECTRICAL I SOLAR I CONTROLS Date:2016.02.22 08:59:11-08'00' <br /> Owner/Authorized Agent Signature Date (Revised 1 071 2/2 0 1 5) <br />