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• • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 l (E)everetteps@everettwa.gov ( www.everettwa.gov/permits <br /> PR©JECT SITE�IN ORMATION <br /> PROJECT ADDRESS: 6201 Associated Blvd. Building B <br /> BUILDING AREA(if residential, new construction, remodel,or addition)13,980 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: Commercial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 35,0 <br /> NUMBER OF DEVICES if low volta e 260 <br /> FIRE ALARM? ❑YES ®NO <br /> ASSOCIATED BUILDING PERMIT# I pricable : <br /> DESCRIPTION OF WORK: LOW voltage Cabling <br /> CONTACTINFQRMATION <br /> OWNER NAME:Underwood Gartland TENANT NAME(If Commercial): Columbia distribution <br /> OWNER MAILING ADDRESS: 11111TP0 BOX 3513 <br /> Bellevue sTATE WA 98009 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Titan Electric <br /> CONTRACTOR ADDRESS: sTREET 12828 Northup Way, Suite 205 <br /> CITYBellevue STATE WA y' 98005 <br /> CONTRACTOR PHONE: 206-633-2811 1CONTRACTOR EMAIL: matts@tltanelectric.net <br /> CONTRACTOR LIC.#(REQUIRED): TltanEI9630B CITY OF EVERETT BUSINESS LIC.#(REQUIRE �051191 <br /> PRIMARY CONTACT: ❑OWNER lid CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-633-2811 <br /> Matt Snyder CONTACT EMAIL:matts@titanelectric.net <br /> AGREEMENT:f 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/am authorized by the ovyner 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 /> r� . <br /> Ow /Authorized Agent Signature Date (Revised 9/23/2096) <br />