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ELECTRICAL PERMIT APPLICATION <br /> I�►f CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT ADDRESS: 3003 West Casino Road, Everett, WA 98203 Building 40-11 Electric Vehicle Charger <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: IX COMMERCIAL <br /> USE OF BUILDING: <br /> • <br /> CONTRACT PRICE OF WORK: $2,500 <br /> NUMBER OF DEVICES if low volta•e : <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# if a••licable : <br /> DESCRIPTION OF WORK: 218323 -40-11 Electric Vehicle Char•er Row A Column 12 : Install 3 60a <br /> receptacles and (3) 60a disconnects switches. <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 <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 IX)CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-683-2038 <br /> Miriam Saunders CONTACT EMAIL: Miriam.s@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 /> \n 5i% <br /> t signed by Shannon Fuller PERMIT# <br /> amp : US,E=Shannon.F@foygroup.net, <br /> F Group,OU=Project Manager, <br /> r 0 E <br /> Y OR O it R = annon Fuller <br /> ELECTRICAL I SOLAR I CONTROLS 016.02.22 08.59.11-08'00' <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />