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4t77 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2300 Kasch Park Road <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED D DUPLEX ❑ MULTI-FAMILY-#OF UNITS. COMMERCIAL <br /> USE OF BUILDING: Community Transit <br /> ELECTRICAL. APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 15,000.00 <br /> NUMBER OF DEVICES (if low voltage): 20 <br /> FIRE ALARM? 0 YES 6d NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Low Voltage HVAC Controls for (2) MAU's and (2) AC units. <br /> )CONTACT INFORMATION <br /> OWNER NAME0(4,-nCjJVL(1.) 0? -71NAME(If Commercial): Community Transit <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Foy Group <br /> CONTRACTOR ADDRESS: STREET 2400 NW 80th St. #118 q q <br /> CITY Seattle STATE WA ZIP <br /> 98t1- ----- <br /> CONTRACTOR PHONE: 206-937-6150 CONTRACTOR EMAIL: Charlie.L@foygroup.net o� + <br /> CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUII ED): 044569 <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-402-1056 <br /> Charlie Leese CONTACT EMAIL: Charlie.L@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 lam 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 <br /> PERMIT# <br /> E Loci -2[ <br /> Qw erlAuthorized Agent Signature Date (Revised 10/12/2015) <br /> l <br />