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0 9 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 ( FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 6201 Associated Blvd, Everett WA 98203 <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: $ 306,308,00 <br /> NUMBER OF DEVICES (if low voltage): 42 <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Full floor TI, Gear <br /> CONTACT INFORMATION <br /> OWNER NAME:Underwood Gartland TENANT NAME(If Commercial): Colubmla Distributing <br /> OWNER MAILING ADDRESS: sTRtET PC BOX 3513 <br /> �m Bellevue STATE WA z;p 98009 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Titan Electric <br /> CONTRACTOR ADDRESS: sTREFT 12828 Northup Way, Suite 205 <br /> ,,T,.Bellevue STATE Wa „P 98005 <br /> CONTRACTOR PHONE: 206-633-2811 CONTRACTOR EMAIL: mati:s@titanelectric.net <br /> CONTRACTOR LIC.#(REQUIRED): TitanE19630B ICITY OF EVERETT BUSINESS LIC,#(REQUIR�Qj:051191 <br /> PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-633-2811 <br /> Matt Snyder CONTACT EMAIL:I-pattS@tltaneleGtriC.net <br /> AGREEMENT.'I hereby certify that I have read and examined this application and know the same to be true and correct. Ail 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 I am authorized by the owner of this property to perform the work for which application is made and 1 <br /> cornpty with the State Contractors Law 18.27 RCW and 296,200 WAC. <br /> City of Everett Official Use Only <br /> PERMI'7 E � ( (' — OS l <br /> Okge)A thorized Agent Signature Date (Revised 9/23/2016) <br />