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ELECTRICAL PERMIT APPLICATION <br /> "Id-----A <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE;,INFORMATION <br /> PROJECT ADDRESS: 6605 Merrill Creek Pkwy <br /> BUILDING AREA(if residential,new construction,remodel,or addition)2000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Commercial <br /> ELECTRICAL APPLICATION INFORMATION? <br /> CONTRACT PRICE OF WORK: $ 5,700.00 <br /> NUMBER OF DEVICES(if low voltage): 14 <br /> FIRE ALARM? ❑YES $NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Class 2 Low Voltage Controls - HVAC <br /> CONTACT INFORMATION <br /> OWNER NAME:SNBL USA TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 6605 Merrill Creek Pkwy <br /> CITY Everett STATE Wa ZIP 98203 <br /> OWNER PHONE: 425407-0121 OWNER EMAIL: <br /> CONTRACTOR NAME: FOY Group <br /> CONTRACTOR ADDRESS: STREET 901 Powell Street <br /> CITY Renton STATE Wa ZIP 98057 <br /> CONTRACTOR PHONE:4254454523 CONTRACTOR EMAIL: keith.p@foygroup.net <br /> CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED):044569 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 1-858-352-8044 <br /> Mike Crouch CONTACT EMAIL:MichaeLC@foygroup.net <br /> ` <br /> AGREEMENT:I 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 type <br /> 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 1827 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 7/—/t E \ 1 � \? <br /> Ow er/Autho zed Agent Signature Date (Revised 9/23/2016) <br />