2825 COLBY AVE UNION BANK 2019-01-28

eft/P,-, ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits '', 7r :aJ ,,:i yt µ�:y•• - �� a mss. PROJECT ADDRESS: '8 Colby Ave Everett, WA 98201 BUILDING AREA(if residential, new construction, remodel,or addition)0 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Union Bank , t b , �" CONTRACT PRICE OF WORK: 2,503 NUMBER OF DEVICES (if low vo'age): 2 FIRE ALARM? 0 YES ;A NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install and terminate(2)exterior CCTV cameras. Tie in (1) 120v circuit to(3)access control panels. a"a'�' NT ,M RIT7t A 1'17'17, ` F.. 1 os�,'rfi't,1. OWNER NAME: TENANT NAME(If Commercial): Union Bank OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Titan Electric, Inc. CONTRACTOR ADDRESS: STREET 12828 Northup Way Ste 205 CITY Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE: 206-633-2811 CONTRACTOR EMAIL: info@titanelectric.net //�� CONTRACTOR LIC.#(REQUIRED): TitanE1963OB CITY OF EVERETT BUSINESS LIC.#(REQUIRED):"051191 PRIMARY CONTACT: 0 OWNER VI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-250-3590 Laurissa Carroll CONTACT EMAIL: laurissac@titanelectric.net AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of taws and ordinances governing this 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 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Laurissa Carroll 9/5/17 E °9 -- of, 9 Owner/Authorized Agent Signature Date (Revised 9/23/2016)