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ELECTRICAL--- -- PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />425-257-8810 - FAX 425-257-8857—www.everettvaa.crg <br />7720 Hardenson Road Suite D Everett, WA 98203 <br />PROJECT ADDRESS <br />Qi�rer <br />FEMA <br />Tenant <br />Titan Electric <br />/p_3(--IV <br />C iy/o-U-5 <br />Mail Address City State/Zip Phone <br />7720 Hardenson Road Suite D Everett WA / 98203 <br />Mail Address <br />City <br />12828 Northup Way Suite 205 Bellevue <br />Electrical Contractor Mail Address <br />TITANL-19630B <br />State License Number <br />Cornmercial <br />SlateZp Phone <br />WA/98005 ax. <br />633 mli <br />City StaterLp <br />$3.300 <br />Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage (If residential new construction. remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done: <br />Phone <br />Install I " EMT Raceway and (1) 20A power supply to PTZ inotors. Titan Job # 146223 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined (tits application and know the same to be true and <br />correct Ail provisions of laws and ordinances governing this type of work troll be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of constuction. That I am authorized by the owner of this property to pertomt the <br />work for which application is made and I comply with the State Contractors Law 1827 RCW and <br />296.200 WAG. <br />10/30/ 14 <br />REVISED i? j <br />FEE <br />I`-f( •cja <br />PERMIT# <br />E(`(D-20,3 <br />