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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: onlinevermits.everettwo.gov <br />PERMIT NUMBER: E2307-213 <br />ISSUED DATE: 8/3/2023 <br />JOB ADDRESS: 1449 MADRONA AVE <br />APN: 00505700002804 <br />OWNER: OTOANE MICHELE M & ZERBST DAVID P <br />USE OF BUILDING: RESIDENTIAL ALTERATIONS <br />1449 MADRONA AVE <br />TENANT: <br />EVERETT, WA 98203-1727 <br />PHONE: <br />PHONE: <br />DESCRIPTION OFWORK : <br />CONTR: BLACK SHEEP ELECTRIC LLC <br />EV CHARGER 240V 50 AMP GFCI PROTECTED CIRCUIT <br />4320 196TH ST SW <br />install 240v 50amp GFCI protected circuit for EV charger <br />LYNNWOOD, WA 98036 <br />PHONE: (206)910-2786 <br />AMPERAGE: 50 <br />CONTRACT PRICE OF WORK: $1,750.00 <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 />Percent Credit Card Fee $1.73 <br />TOTAL FEE $76.73 <br />TOTAL FEES PAID $76.73 <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 />E2307-213 <br />APPLICANT/JOB SITE COPY __TREASURER _ADDRESS FILE _FILE __COUNTER __ASSESSOR <br />