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ELECTRICAL CITY OF EVERETT <br /> PERMIT PERMIT SERVICES <br /> EVERETT <br /> 3200 CEDAR STREET EVERETT,WA 98201 <br /> WASHINGTON (425)257-8810 <br /> Online Inspection Request:onlinepermits.everettwo.gov <br /> PERMIT NUMBER: E2212-112 ISSUED DATE: <br /> JOB ADDRESS: 6419 CYPRESS ST APN: 00393400003500 <br /> OWNER: Susan Hall USE OF BUILDING: RESIDENTIAL ALTERATIONS <br /> 6419 Cypress St TENANT: <br /> Everett,WA 98203 <br /> PHONE: <br /> PHONE: <br /> DESCRIPTION OF WORK: CONTR: LAWSON ELECTRIC <br /> ELECTRICAL FOR Game room addition <br /> 5200 93RD PL SW <br /> On back side of house MUKILTEO,WA 98275 <br /> PHONE: (425)971-4064 <br /> AMPERAGE: CONTRACT PRICE OF WORK: $5,000.00 <br /> PERMITS EXPIRE IF WORK NOT COMMENCED WITHIN 180 DAYS OR CEASES MORE THAN 180 DAYS. <br /> FEES: ACKNOWLEDGEMENT OF CONDITIONS <br /> 12 CIRCUITS ALTER/ADD 3+ $100.00 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 /> TOTAL FEE $100.00 <br /> TOTAL FEES PAID $0.00 <br /> TOTAL FEE $100.00 <br /> City of Everett Local <br /> REMARKS: Sales Tax Code is 3105. <br /> PERMIT NO. <br /> E2212-112 <br /> —APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />