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EVERETT <br />WASHINGTON <br />ELECTRICAL <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET EVERETT, WA 98201 <br />(425)257-8810 <br />Online Inspection Request: onlinepermits.everettwa.aov <br />PERMIT NUMBER: E2211-124 <br />DATE: <br />JOB ADDRESS: 12403 17TH AVE SE <br />APN: 01069700001400 <br />OWNER: NGUYEN TRUCTHANH/SIN MELVIN U FAI <br />USEOF BUILDING: RESIDENTIAL ALTERATIONS <br />8446 27TH ST CT E <br />TENANT: <br />EDGEWOOD, WA 98371 <br />PHONE: <br />PHONE: <br />DESCRIPTION OF WORK: <br />CONTR: SEATOWN ELECTRIC(ELEC) CORP <br />New Dedicated Circuit for Car Charger <br />4200 78TH ST SW <br />Circuit <br />MUKILTEO, WA 98275 <br />PHONE: (206)905-3690 <br />AMPERAGE: <br />CONTRACT PRICE OF WORK: $950.00 <br />PERMITS EXPIRE IF WORK NOT COMMENCED WITHIN 180 DAYS OR CEASES MORE THAN 180 DAYS. <br />FEES: <br />12 CIRCUITS ALTER/ADD 1-2 $75.00 <br />TOTAL FEE $75.00 <br />TOTAL FEES PAID $0.00 <br />TOTAL FEE $75.00 <br />REMARKS <br />ACKNOWLEDGEMENT OF CONDITIONS <br />By purchasing this permit and commencing work, the owner/applicant <br />hereby agrees to the above listed permit conditions and agrees to hold <br />and save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise because of <br />the construction hereto applied for and further agrees to remove same <br />upon notice from the City. <br />City of Everett Local <br />Sales Tax Code is 3105. <br />PERMIT NO. <br />E2211-124 <br />—APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />