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071ETT ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov J www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3003 W Casino Road, Bldg 40-86 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) n/a SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS VOMMERCIAL <br /> USE OF BUILDING: Commercial Office Space <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ n/a 117 1 , r j <br /> NUMBER OF DEVICES (if low voltage): 450 devices <br /> FIRE ALARM? 0 YES VNO <br /> ASSOCIATED BUILDING PERMIT# (if applicable). Install low voltage controls <br /> DESCRIPTION OF WORK: Penthouse <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing Company TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F09 <br /> CITY STATE Z''R <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: FOY Group <br /> CONTRACTOR ADDRESS: STREET 2400 NW 80th Street, Ste 118 <br /> CITY Seattle SrATE WA z:P 98117 <br /> CONTRACTOR PHONE: 206-743-2444 CONTRACTOR EMAIL: wylie.h@foygroUp.net <br /> CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044569 <br /> PRIMARY CONTACT: ❑ OWNER VCONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-743-2444 <br /> Wylie Hubbard CONTACT EMAIL: wylie.h©foygroup.net <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 lam 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 /> PERMIT# <br /> 8/14/17 <br /> 147 W')� <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />