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From: 07/ff013 13:14 #508 P.002/003 <br /> ELECTRICAL, PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 88201 <br /> 425-257-8810 - FAX 425-257-8857—www.everetWa.org <br /> 3003 Worst Casino Rd.Everett,WA 98203 <br /> PROJECT ADDRESS <br /> Boeing 45 .03 <br /> Owner Mail Address City swia/zo Phone <br /> Boeing Co. 4 5.0 3 3003 Casino Rd. Everett We 98203 <br /> Tenant Mail Address city statemp Phone <br /> Titan Electric 900 N.34th Street Seattle We 98103 <br /> Electrical Contractor Mail Address City State%Zip Phone <br /> TltenE196308 $10, 000 <br /> State License Number Contract Price of Work <br /> Kyle Kurtz <br /> Proposed Use of Building Contact Person (Plan Rsviaw) <br /> 1500 <br /> Square Footage(If residential new construction,remodel or addltlon) <br /> 20 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Install Access Controls on Doors <br /> FEE ,� } <br /> CITY OF SVERETT LOCAL SALES TAX CODE IS 3105 r2 f 1"_ <br /> C hereby cerU'fy that l have read and examined thla epplicabrolt and know the same to be true and <br /> correct, All provlslons of lawa and ordinances goverrring thla type of work w111 b000mpleted <br /> whether specftfad here/n or not. The granting of a perrrr/t does not presume to;give authotW to PERMIT# <br /> violate or Canoe/the provlslons ofany otherstate orlocal low regulating conshuction or the 307 0 <br /> performance of construction. That I am authorized by the owner of this property to perfann the 3 <br /> work for*h1ch appilcation 1s made and l comply with the State Contractors taw 7827 RCW and <br /> 296.2801; <br /> 7/8/2013 <br /> n u Date <br /> REV/RSD VM3 <br />