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4rerr PECTRICAL PERMIT APOLICATION <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 I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3003 West Casino Road, Everett, WA 98203 Building 45-239 <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: COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION`INFORMATION, <br /> CONTRACT PRICE OF WORK: $4,500.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 216082 Building 45-239 Provide and install 30A disconnect, power for heat <br /> pumps and new receptacles <br /> CONTACT INFORMATION <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: QWNER EMAIL: <br /> CONTRACTOR NAME: Foy Group <br /> CONTRACTOR ADDRESS: STREET 2400 NW 80TH ST Suite 118 , <br /> Cin' Seattle STATE WA ZIP 98117 <br /> CONTRACTOR PHONE: 206.437.6381 CONTRACTOR EMAIL: Shannon.fRfoygroup.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 PHQNE: 206.683.2038 <br /> Miriam Saunders CONTACT EMAIL: miriam.s@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 /> 1 L5! <br /> Digd�lly signed by Shannon Fuller PERMIT# <br /> airRN SUS,E=Shannon,F@foygroup.net, <br /> kt&FOV, <br /> annon OU=Project Manager, C <br /> C k�o��, <br /> F n v CEJ annon Fuller <br /> Owner/AuCtThoiLzed SRAgenI t CSORgAnRatu1pate'z�016.02.22 08:59:11-08'00' <br /> Date (Revised 10/12/2015) <br />