Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />PROJECT ADDRESS: 3003 West Casino Road Everett WA 98203 Building 40-24 Factory Shift Bells <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 />CONTRACT PRICE OF WORK: $6,000 <br />NUMBER OF DEVICES if low voltage): <br />FIRE ALARM? ❑ YES ❑ NO <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />DESCRIPTION OF WORK: 217442 - Provide Dower to new factory Shift bells <br />OWNER NAME: Boeing Company TENANT NAME If Commercial): <br />OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F 09 <br />CITY Seattle STATE WA zip 98124 1 <br />PHONE: <br />CONTRACTOR NAME: FOv Grou <br />OWNER EMAIL: <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.fO-foygroup.net <br />CONTRACTOR LIC. #(REQUIRED): FOYGRGC863LK CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 044569 <br />PRIMARY CONTACT: ❑ OWNER ® CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE: 425.463.5772 <br />Aaron Mitchell CONTACT EMAIL: Aaron.m@foygroup.net <br />AGREEMENT.., Thereby certify that l 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 />�W signed by Shannon Fuller <br />US E-Shannon.F@foygroup.net, <br />� F Group, OU=Project Manager, <br />r o T G R D -1.'a - annon Fuller <br />',;.> <br />ELECTRICAL I SOLAR I CRNTROtB . <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />FEE <br />I <br />PERMIT # <br />E nN (Co <br />(Revised 1011212015) <br />