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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.everettwo.gov <br />PERMIT NUMBER: E2310-068 <br />ISSUED DATE: 10/6/2023 <br />JOB ADDRESS: 12420 21ST AVE SE <br />APN: 01024200003600 <br />OWNER: GRIBBIN MEGAN <br />USEOF BUILDING: RESIDENTIAL ALTERATIONS <br />12420 21ST AVE SE <br />TENANT: <br />EVERETT, WA 98208-6517 <br />PHONE: <br />PHONE: <br />DESCRIPTION OF WORK: <br />CONTR: BLUE FLAME (ELEC) HGT AIR & ELECTRIC <br />Replace furnace <br />965 RIDGE LAKE BLVD STE 201 <br />n/a <br />MEMPHIS, TN 38120 <br />PHONE: (425)503-5810 <br />AMPERAGE: <br />CONTRACT PRICE OF WORK: $400.00 <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 />E2310-068 <br />_APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />