6400 36TH AVE W 2017-03-10 - Laserfiche WebLink

4reen. 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 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:6400 36th Ave W 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: $ 2672.00 NUMBER OF DEVICES (if low voltage): 11 FIRE ALARM? ❑YES ❑✓ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install and terminate (11) CCTV Cameras Titan job 166294 CONTACT INFORMATION OWNER NAME: Boeing TENANT NAME(If Commercial): Boeing OWNER MAILING ADDRESS: STREET 6400 36th Ave W CITY Everett STATE WA ZIP 98204 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Titan Electric, Inc. CONTRACTOR ADDRESS: STREET 12828 North up Way Ste. 205 CITY Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE:206-633-2811 CONTRACTOR EMAIL:info@titanelectric.net CONTRACTOR LIC.#(REQUIRED):EC TITANE19630B CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: DOWNER ['CONTRACTOR ['OTHER(Please Specify) 051191 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 A PER # E Lo 11/18/16 Owner/Authorized Agent Signature Date (Revised 10/12/2015)