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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 /> �fra4e.,.,.�F Atilt: ,�.,..,; .. ,...,.�:.,.. max.... w Z �,���'\' �::..,..��.... <br /> PROJECT ADDRESS: 3003 West Casino Road, Everett, WA 98203 Building 40-26 4th floor col R3 <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: IX COMMERCIAL <br /> USE OF BUILDING: <br /> CONTRACT PRICE OF WORK:$5,500 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 218376 - Provide power to new systems furniture.4th floor col R3 <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) 044569 <br /> PRIMARY CONTACT: 0 OWNER 31 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 /> t �2 . 50 <br /> astralu <br /> NTH§ signed by Shannon Fuller <br /> PERMIT# <br /> -1111Lair US,E=Shannon.F@foonet, - i <br /> Group,OUPrjE ect Managerygrup. Q G/ <br /> r o c s la n 1: R = annon Fuller oR I(0 <br /> --ELECTRICAL l SOLAR I cnN1RALs •.'P .016.02.2208:59:11-08'00' <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />