3003 W CASINO RD FLIGHTLINE 2017-02-27

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:3003 West Casino Road , — ( "C BUILDING AREA(if residential, new construction, remodel, or addition)new construction SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: ✓❑COMMERCIAL USE OF BUILDING:Commercial ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $5746.00 NUMBER OF DEVICES (if low voltage): 5 FIRE ALARM? ❑YES ONO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: • Install and Terminate (3) Exterior CCTV Camera's and (2) Pole Mount CCTV Camera's (up to 20'). Titan job 166313 CONTACT INFORMATION OWNER NAME: Boeing TENANT NAME(If Commercial): Boeing OWNER MAILING ADDRESS: STREET 3003 West Casino Road ciTv Everett STATE WA ZIP 98204 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Titan Electric, Inc. CONTRACTOR ADDRESS: STREET 12828 Northup Way Ste. 205 „T, Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE:206-633-2811 CONTRACTOR EMAIL:info@titanelectric.net CONTRACTOR LIC.#(REQUIRED):EC TITANEI963OB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 051191 PRIMARY CONTACT: ❑OWN ER ❑✓ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: Elaia Wainright CONTACT PHONE:206-633-2811 CONTACT EMAIL:elaiaw@titanelectric.net 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 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 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# 0i� E cp( 2 o 2 12/8/16 Owner/Authorized Agent Signature Date (Revised 10/12/2015)