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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 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> .. .,.. ....,,.. ....., ,.»..\.. .,..:> .....n.. ,a:;;."sT':. .,\.\ r.�; 7izm\. ,...:.. .. . .i;..�\•.\\\ \.,. ),c,.�aaxaa'. lA�,�d. <br /> PROJECT ADDRESS: 3003 West Casino Road, Everett, WA 98203 Building 40-02 Receptacles <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: <br /> CONTRACT PRICE OF WORK: $1,500 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 218066 -40-02 receptacle install <br /> OWNER NAME: Boeing Company TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F 09 <br /> cim' Seattle STATE WA ZIP 98124 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Foy Group <br /> CONTRACTOR ADDRESS: STREET 901 Powell Ave SW Suite 100 <br /> CITY Renton STATE WA ZIP 98057 <br /> CONTRACTOR PHONE: 206.437.6381 CONTRACTOR EMAIL: shannon.f@foygroup.net <br /> CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044569 <br /> PRIMARY CONTACT: 0 OWNER ($)CONTRACTOR 0 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 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 /> oa <br /> . . <br /> s .„, signed by Shannon Fuller PERMIT# <br /> umpair q: ��� _ � (^JGrouP =Pr*c?Mar1ae rC `�-J1F o T G Ra CELETRICAL l SCLAR I CONTAALS 016.02.22 08:59:11-08'00' <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />