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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: E2209-200 DATE: <br /> JOB ADDRESS: 5615 12TH AVE W UNIT Z-2 APN: 00868102600200 <br /> OWNER: PESCHAU HANS USE OF BUILDING: RESIDENTIAL ALTERATIONS <br /> 5615 12TH AVE W UNIT Z2 TENANT: <br /> EVERETT,WA 98203 <br /> PHONE: <br /> PHONE: <br /> DESCRIPTION OF WORK: CONTR: C M HEATING INC(ELEC) <br /> CIRCUIT-GAS FURNACE AND HEAT PUMP INSTALL <br /> 1500 INDUSTRY ST,STE 200 <br /> GAS FURNACE AND HEAT PUMP INSTALL EVERETT,WA 98203 <br /> PHONE: (425)355-4469 <br /> AMPERAGE: CONTRACT PRICE OF WORK: $250.00 <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 1-2 $75.00 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 $75.00 <br /> TOTAL FEES PAID $0.00 <br /> TOTAL FEE $75.00 <br /> City of Everett Local <br /> REMARKS: Sales Tax Code is 3105. <br /> PERMIT NO. <br /> E2209-200 <br /> _APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />