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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: E2309-275 ISSUED DATE: 10/3/2023 <br /> JOB ADDRESS: 840 N BROADWAY APN: 00551300001900 <br /> OWNER: EVERETT WA I SGF LLC USE OF BUILDING: COMMERCIAL ALTERATIONS <br /> 575 MARYVILLE CENTRE DR STE 500 TENANT: DSHS <br /> ST LOUIS,MO 63141 <br /> PHONE: <br /> PHONE: <br /> DESCRIPTION OF WORK: CONTR: J.LONG INC <br /> EV Charging station upgrade <br /> 3211 187TH PL SE <br /> two 40 amp circuit to two 60 amp 240V circuits BOTHELL,WA 98012 <br /> PHONE: (206)579-7470 <br /> AMPERAGE: CONTRACT PRICE OF WORK: $3,000.00 <br /> PERMITS EXPIRE IF WORK NOT COMMENCED WITHIN 180 DAYS OR CEASES MORE THAN 180 DAYS. <br /> FEES: ACKNOWLEDGEMENT OF CONDITIONS <br /> 07 COMMERCIAL ELECTRICAL $132.50 By purchasing this permit and commencing work,the owner/applicant <br /> hereby agrees to the above listed permit conditions and agrees to hold <br /> Percent Credit Card Fee $3.05 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 $135.55 <br /> TOTAL FEES PAID $135.55 <br /> TOTAL FEE $0.00 <br /> City of Everett Local <br /> REMARKS: Sales Tax Code is 3105. <br /> **RESTORE ASHPALT TRENCH AREA TO PREVIOUSLY APPROVED CONDITIONS,CONFIRMED 10/3/2023,NO PW PERMIT NO. <br /> PERMIT REQUIRED** <br /> **SUBJECT TO FIELD INSPECTION** *FURTHER PERMITS MAY BE REQUIRED* E2309-275 <br /> _APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />