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011 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 /> PROJECT ADDRESS:3003 West Casino Road, Everett, WA 98203 Builtlin� • :-• � tet, • • • or_Di ect <br /> BUILDING AREA(if residential, new construction,remodel,or addition) "`1SF © ,2A ' . i V` <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 131 COMMERCIAL <br /> USE OF BUILDING: <br /> CONTRACT PRICE OF WORK:$5,000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if ap,)) ble): <br /> DESCRIPTION OF WORK: 218066 - 40-261Elevator Violations: Location column L. row 11. We will be <br /> installkagAile 20 a breaker in panel 2V87-1 BL10 as well as a 20a <br /> duplex. <br /> OWNER NAME: Boein• Com•an TENANT NAME If Commercial : <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F 09 <br /> ciTY Seattle STATE WA ZAP 98124 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: FO Grou• <br /> CONTRACTOR ADDRESS: STREET •11 ` • , - G - A - IS <br /> CITY Renton STATE WA ZIP 98057 <br /> CONTRACTOR PHONE: 206.437.6381 CONTRACTOR EMAIL: shannon.f • fo •rou•.net <br /> CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044569 <br /> PRIMARY CONTACT: ❑OWNER 21 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 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 /> PERMIT# <br /> Elul O- Z1D <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />