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OLT ELECTRICAL PERMIT APPLIUATION <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 www.everettwa.gov/permits <br /> t f 1F! PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: '• - —'ol-r-t+___5-F6CE-e , LJ (sof(� <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: ( COMMERCIAL <br /> USE OF BUILDING: r i2cyd i DE-Oc . 72.-G-to u L !✓p ica -`\ <br /> A Wt �C.r <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OF DEVICES (if low voltage): 3 <br /> FIRE ALARM? 0 YES 601 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Low Voltage HVAC Controls with Load wiring for VFD's. ' S <br /> CONTACT INFORMATION <br /> OWNER NAME: —' TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY <br /> STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Foy Group <br /> CONTRACTOR ADDRESS: STREET 2400 NW 80th St. #118 <br /> crrY Seattle STATE WA ZIP 98117 <br /> CONTRACTOR PHONE: 206-937-6150 CONTRACTOR EMAIL: Charlie.L©foygroup.net <br /> CONTRACTOR LIC.#(REQUIRED):FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044569 <br /> PRIMARY CONTACT: 0 OWNER XI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT-NAME: C-ONTAG PH©NE:2Q40-2=1-05(] <br /> Charlie Leese CONTACT EMAIL: Charlie.L©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 /> E SD 0 I <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />