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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 /> PROJECT ADDRESS: 3003 West Casino Road, Everett, WA 98203 Building 4072 0v !,,a4 <br /> fu <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: CRI COMMERCIAL <br /> USE OF BUILDING: <br /> CONTRACT PRICE OF WORK:$2,000 <br /> NUMBER OF DEVICES if low voltaic : <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# if a••licable : 11 ® a <br /> DESCRIPTION OF WORK: 218131 - Disconnect and reconnect •ower for heat •um• •rovide 3 new <br /> disconnects <br /> • � �`��aiax..�.-�" �x..,.r r��� a �.,, :n,�,�s *0,tt'g »6m,,,, <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): 0445569 <br /> PRIMARY CONTACT: ❑OWNER 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/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 /> m2.67_9 <br /> signed by Shannon Fuller PERMIT# <br /> Mr_ dir: US,E=Shannon.F@foygroup.net, <br /> F Group,OU=Project Manager, C 1 2 ' <br /> T OTOR RIR = annon Fuller C <br /> ELECTRICAL I SOLAR I CONTROLS 016.02 22 08:$9:11-08'00' <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />