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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: E2302-210 <br />ISSUED DATE: 3/2/2023 <br />JOB ADDRESS: 12800 19TH AVE SE <br />APN: 28053000407201 <br />OWNER: PROVIDENCE HEALTH & SERVICES <br />USE OF BUILDING: COMMERCIAL ALTERATIONS <br />1801 LIND AVE SW #9016 <br />TENANT: PROVIDENCE MEDICAL CLINIC <br />RENTON, WA 98057 <br />PHONE: <br />PHONE: <br />DESCRIPTION OF WORK: <br />CONTR: VECA (ELECT) ELECTRIC & TECH LLC <br />Providence Mill Creek Clinic <br />5614 7TH AVE S <br />Extend existing normal power circuit for double duplex in Soiled holding rm <br />SEATTLE, WA 98108 <br />PHONE: (360)439-3254 <br />AMPERAGE: <br />CONTRACT PRICE OF WORK: $1,000.00 <br />PERMITS EXPIRE IF WORK NOT COMMENCED WITHIN 180 DAYS OR CEASES MORE THAN 180 DAYS. <br />FEES: <br />07 COMMERCIAL ELECTRICAL $72.50 <br />Percent Credit Card Fee $1.67 <br />TOTAL FEE $74.17 <br />TOTAL FEES PAID $74.17 <br />TOTAL FEE $0.00 <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 />E2302-210 <br />—APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />