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To: Page 6 of 6 2015-07-01 21:05:50 (GMT) 1800648034'I From: Foy Group <br /> ELECTRICAL PERMIT APPLICATION <br /> C1TY tJF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - �AX 425-257-8857—www.everettwa.org <br /> „ <br /> 1����` _�������..I 1�.�� �►�'�J. <br /> - � 7����� �i �;��"�� <br /> PROJECT ADDRESS <br /> Providence Hospital - 1800 13t11 Street, �Cverett, WA 98201 425-261-2000 <br /> OWner Mail Address City State/Zip Phone <br /> Providence Hospital - 1800 13 th Street, Everett, WA 9�201 425-2b 1-2000 <br /> Tenant Mail Address Cify Siate/Zip Phone <br /> Foy Group - 2400 NW 80th Strect, #118, Seattl�, WA )$117 206-�37-61 SU <br /> Electrica)Contractor Maii Address Ciry State/Zip Phone <br /> I+'UYGRGC863LK 044569 <br /> State License Number(required) City of Everett Business Lieense Number(required) <br /> Haspital C;linic �6,500.00 <br /> Proposed Use of Building Contract Price of Work <br /> 12,000 Tom Schmi�t - 206-819-121_5 <br /> Square Footage(If residential new construction, remodel or addition) Contact PersonlContact NumberlEmail <br /> Tom.S(a,FoyGroup.net <br /> S6 <br /> Number of devices (If low voltage) <br /> oes�riptio�of worx to ge oor,e: Low valtage HVAC controls for (28) VAV Boxes <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ���`� <br /> 1 hereby certrfy that 1 have read and examined this applicatron and know#he same to be true and f <br /> correct. All provisions of laws and ordinances governing this type of work wilf be completed <br /> whether specrfred herern or not. The granting of a permit does not presume to give authonty to PERMIT# <br /> violate or cancel the provisions of any other state or locaf!aw regulating consfruction or the <br /> performance of construction. Thaf!am authorized by the owner of fhis property to perform the E��...—��� <br /> work for which application is made and!comply wrfh the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 7/1/2015 <br /> Signature Date <br /> rzEvrsFo oaioa,2o�a <br />