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4252503520 09:01:08 a.m. 10-26-2015 2/2 <br /> • <br /> 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.everettwa.org <br /> 3003 West Casino Road Gate E-74 <br /> PROJECT ADDRESS <br /> Boeing Company <br /> Owner Mail Address Gity State/Zip Phone <br /> Boeing Company 3003 West Casino Road Everett WA/98204 <br /> Tenant Mail Address City State/Zip Phone <br /> Titan Electric, Inc. 12828 Northup Way Stuite 205 Bellevue WA/98005 3206-63 <br /> -2811 <br /> 3-Z81 1 <br /> Electrical Contractor Mail Address City Stale/Zip Phone <br /> TITANEI9630B 051191 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial $2,401.00 <br /> Proposed Use of Building Contract Price of Work <br /> Laurissa Carroll/206-735-9498 <br /> laurissac@titanelectric.net <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> 6 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Install and terminate (4) card readers and (2) cameras. Titan Job#156217 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ®�no <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for which application is made and/comply with the State Contractors Law 18.27 RCW and <br /> 296.200�G_, <br /> 10/26/15 <br /> Signature / Date <br /> REVISED 00/06/2014 <br />