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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 /> Y'^ ;4: otii ,- i7 t amu..Y\ .:p mxK . 1t <br /> PROJECT ADDRESS: 3003 W Casino Rd, 40-11 Col D10 <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 /> .: . . MIIA..... w1 <br /> CONTRACT PRICE OF WORK: $$30000.00 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 218191/Col 40-11 Col D10 - Install new Soil Sentry Panel, conduit and <br /> wire. <br /> _....., ,. ..«.ae,, ,, „• ,..>,. ., ora\� +.,.,,.i,�.., ;: :,s„':: ,:r. ,,,.., ;': ,... -' <br /> OWNER NAME: Boeing TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F 09 <br /> cry Seattle STATE WA LP 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@joygroup.net <br /> CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044569 <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 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 /> y.aa <br /> �` it�' r signed by Shannon Fuller PERMIT# <br /> tw US,E=Shannon.F@foygroup.net, <br /> F Group,OU=Project Manager, C C 1 / O <br /> F 0 v c, R €; a _� annon Fuller ` <br /> ELECTRICAL I SOLAR 1CRNTRRLS-= ^�#�V <br /> .016.02.22 08:59:11-08'00' <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />