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4252503520 10:16:30 a.m. 04-23-2015 2/2 <br /> 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.everettwa.org <br /> 3003 West Casino Road Building 45-767 (SAM2590) <br /> PROJECT ADDRESS <br /> Boeing Company <br /> Owner Mail Address City State/Zip Phone <br /> Boeing Company 3003 West Casino Road Everett WA/98204 <br /> Tenant Mail Address City State/Zip Phone <br /> 63 <br /> Titan Electric,Inc. 12828 Northup Way Shiite 205 Bellevue WA/98005 3-2811 <br /> 3 <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 $2,236.00 <br /> Proposed Use of Building Contract Price of Work <br /> Elaia Wainright 206.633.2811 x134 <br /> elaiaw@titanelctric.net <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> 10 <br /> Number of devices(If low voltage) <br /> Install(1)ACP&(1)Power Supply.Install and Terminate(2) Card Readers, <br /> Description of Work to Be Done: <br /> (2)Door Contacts, &(2)REX's.Terminate(2) Strikes.Titan Job 156075 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 i061, ` <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein ornot. 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 /> performance of construction. That lam authorized by the owner of this property to perform the11-11 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 4/23/15 <br /> Signature Date <br /> REVISED 06A762014 <br />