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ELECTRICAL PERMIT APPLICATION <br /> 4.111111111 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 /> kwlmn <br /> .1�1 E� \��\�\�.42.6A <br /> 0. <br /> PROJECT ADDRESS: 3003 W Casino RD -40-92 <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: CV COMMERCIAL <br /> USE OF BUILDING: <br /> vOiitZ-�: �......; M.Vientir "' ill A .rl I F v ����� w�"' �4,,x,•:.. �� R f <br /> CONTRACT PRICE OF WORK: $28,700 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 218213: Column R Line 8, Replace 2 existing breakers with new. <br /> .ks» �• ��F;.a t<aaa x«_,-- :t :i rd 714 .�. „,., �..,.< ��....•? ,9rl< .k/%,, <br /> OWNER NAME: Boeing Company . TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F 09 Boeing Company <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 X CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206.437.6381 <br /> Shannon Fuller CONTACT EMAIL: Shannon.f@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 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 /> City of Everett Official Use Only <br /> FEE <br /> ?I✓ <br /> m signed by Shannon Fuller PERMIT# <br /> : -US,E=Shannon.F@foygroup.net, <br /> F® Group,OU=Project Manager, C t(/ /(✓1 <br /> r o v c z o C annon Fuller bd <br /> ELECTRICAL 1 SOLAR I CONTROLS .,,Nw. •016.02.2208:59:11-08'00' <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />