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OLT -LECTRICAL PERMIT A LICATION <br /> CITY OF EVERETT PERMIT SERVICES 3200 <br /> CEDAR STREET, EVERETT,WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov f www.everettwa.gov/permits <br /> PROJECT;SITE INFORMATION <br /> PROJECT ADDRESS:3003 West Casino Rd BLDG 40-58 <br /> BUILDING AREA(if residential, new construction, remodel, or addition)new construction SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING:Commercial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 4,537.00 <br /> NUMBER OF DEVICES (if low voltage): 20 <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install and Terminate (5) Card Readers.( 5) Door Contacts. (5) REX's. and <br /> Terminate (5) Door Strikes.Titan Job 166130 <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing Company TENANT NAME(If Commercial): Boeing Company <br /> OWNER MAILING ADDRESS: sTneEr 3003 West Casino Road <br /> circ Everett STATE WA ZIP 98204 <br /> nWNFR PHnNF: IOWNFR FMAII . <br /> CnNTRACTOR NAMF-Titan Flentrir. <br /> CONTRACTOR ADDRESS: STREET 12828 Northup Waysuite 205 <br /> CITY Bellevue STATE WA ZIP 98005 <br /> CONTRACTOR PHONE:206-633-2811 CONTRACTOR EMAIL:info@titanelectric.net <br /> CONTRACTOR LIC.#(REQUIRED): EC TITANEI963OB ICITY OF EVERETT BUSINESS LIC.#(REQUIRED):051191 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME:EIaia Wainright CONTACT PHONE:206-633-2811 <br /> CONTACT EMAIL:efaiaw@titanelectric.net <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. AR 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 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 /> 115 . . <br /> PERMIT# <br /> il <br /> 1- I sit LI E o <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />