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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.everettwaorg <br /> 3003 West Casino Road <br /> PROJECT ADDRESS <br /> Boeing <br /> Owner Mail Address City State/Zip Phone <br /> Boeing 3003 West Casino Road Everett WA <br /> Tenant Mail Address City State/Zip Phone <br /> 206-63 <br /> Titan Electric,Inc. 12828 Northup Way Stuite 205 Bellevue WA/98005 3-2811 <br /> Electrical Contractor Mail Address City State/zip Phone <br /> TITANEI963OB 051191 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial $5,252.00 <br /> Proposed Use of Building Contract Price of Work <br /> Laurissa Carroll/425-250-3590 <br /> laurissac@tdanclectric,net <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> 12 <br /> Number of devices(If low voltage) <br /> Install (1) ACP& (1) Power Supply.Install and terminate (3)card readers <br /> Description of Work to Be Done: <br /> (3) REVS &(3) Door Contacts. Terminate (3)Door Strikes.Titan Job#176204 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 r9 <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. Ali provisions of laws and ordinances governing 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 /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> - <br /> performance of construction, That lam authorized by the owner of this property to perform the E <br /> work for which application is made and!comply with the State Contractors Law 16.27 RCW and <br /> 296.200 WAC. <br /> 11111° <br /> 1 6",& 9/14/17 <br /> ignt;ture Date <br /> REVISED 08/08/2014 <br />