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ELECTRICAL PERMIT APPSCATION <br /> �✓��_ CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJ ITIS IINFt1 <br /> PROJECT ADDRESS:3003 West Casino Road Bldg 40-26 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) new construction SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED El DUPLEX ❑MULTI-FAMILY-#OF UNITS. ['COMMERCIAL <br /> USE OF BUILDING:Commercial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 571.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES ENO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Install and Terminate (2) CCTV Cameras. Titan job 166286 <br /> CONTACTINFORMATION <br /> OWNER NAME: Boeing TENANT NAME(If Commercial): Boeing <br /> OWNER MAILING ADDRESS: STREET 3003 West Casino Road <br /> CITY Everett STATE WA ZIP 98204 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Titan Electric, Inc. <br /> CONTRACTOR ADDRESS: STREET 12828 Northup Way Ste. 205 <br /> CITY Bellevue STATE WA ZIP 98005 <br /> CONTRACTOR PHONE:206-633-2811 CONTRACTOR EMAIL:info@titanelectric.net <br /> CONTRACTOR LIC.#(REQUIRED):EC TITANEI9630B CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR ['OTHER(Please Specify) 051191 <br /> CONTACT NAME: Elaia Wainright CONTACT PHONE:206-633-2811 <br /> CONTACT EMAIL:elaiaw@titanelectric.net <br /> 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 <br /> 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 <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 I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> � tr) C <br /> 11/17/16 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />