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ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everettwa.gov/permits <br /> , <br /> � �., ;.:..;.:, <br /> . <br /> <���. . . . � �� � � . <br /> °` , ,. � <br /> ,._ .:_ <br /> ��a,:: ,,;: ` � <br /> PRo�ecT a��Ress: 3003 West Casino Road Everett WA 98203 Buildin 45-04 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: �COMMERCIAL <br /> USE OF BUILDING: <br /> �� �k � �. .��'n�.`��,�e,, °r:�� �,� <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 /> DESCRIPTION OF WORK: 217468 - Provide outlets for new vendin machines <br /> ��.,� �;._:.. , p.rF� ,`.,�. - l' ..-- .: �"�.���:��'�E , ` <`'"%� � �a f <br /> ; ��.,�l�y >> , ,;� �'F����.��� .. �,����� <br /> �� �, „��z, ��� <,� ;�' ,�� ;��.. <br /> OWNER NAME: 6021t1 COtl1 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 /> ��n Seattle STATE WA Z�P 98117 <br /> CONTRACTOR PHONE: ZO6.43T.63S'I CONTRACTOR EMAIL: SllaCltlOtl.f f0 rou .net <br /> coNTRacroR�ic.#�ReQu�REo>: FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REG2UIRED): O44�j69 <br /> ... ... ... .. , <br /> PRIMARY CONTACT: ❑OWNER I8�CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 42rj.4.63.rj]72 <br /> Aaron 1Vlitchell coNTAcr 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. All provisions of/aws and ordinances goveming this <br /> type of work will be comp/eted whether specified herein or not. The granting of a permif does not presume to give authorify to vio/ate or cance/the provisions of any other state or <br /> /oca/law regulating construction or the performance of construction. That/am authorized by the owner of this property to pertorm 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 � �. � <br /> signed by Shannon Fuller PERMIT# <br /> � US,E=Shannon.F�foygroup.net, � � �1� r ��� <br /> F Group,OU=Project Manager, <br /> F o Y G � u a � = annon Fuller <br /> EIECTRICAt I 80LFR I CONiN�L8 <br /> Owner/Authorizetl Agent Signature Date (Revised 10/12/2015) <br />