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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 Building 40-21 <br /> PROJECT ADDRESS <br /> Boeing Company <br /> Owner Mail Address City 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/9g��5 206-63 <br /> 3-2811 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> TITANEI9630B 05119I <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial $7,682.00 <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 /> 26 <br /> Number of devices(If low voltage) <br /> Install (1) access control panel and(1) power supply. Install and terminate access <br /> Description of Work to Be Done: <br /> controls for(6) doors. Titan Job#156217 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � �� �� <br /> � <br /> I hereby certify that 1 have read and examined this application and know fhe same to be true and <br /> correct. All provisions of laws and ordinances goveming 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 /> vio/afe or cancel the provisions of any other state or local law regulating construction or the ^ �����^ ' o <br /> performance of construction. That 1 am authorized by the owner of this property to perform the t v <br /> work for which application is made and l comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC <br /> f �(�� ��\� <br /> �"� .;��,�`��<��'�,��..;����N 3/31/16 <br /> . �. <br /> Signature Date <br /> REVISED OS/O6/2014 <br />