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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: E2401-018 <br />ISSUED DATE: 1/8/2024 <br />JOB ADDRESS: 916 PACIFIC AVE <br />APN: 29053000200100 <br />OWNER: PROVIDENCE HEALTH & SERVICES-WASHINGTON <br />USE OF BUILDING: <br />1801 LIND AVE SW #9016 <br />TENANT: Prov Pacific Campus Nurse Call <br />RENTON, WA 98057 <br />PHONE: <br />PHONE: <br />DESCRIPTION OF WORK: <br />CONTR: VECA Electric <br />Prov Pacific Campus Nurse Call Power Supply Replacement <br />5614 7th Ave S <br />Replace Nurse Call Power Supply with Like and Kind power supplies. Existing <br />Seattle, WA 98108 <br />power <br />PHONE: (206)850-7938 <br />AMPERAGE: <br />CONTRACT PRICE OF WORK: $2,500.00 <br />PERMITS EXPIRE IF WORK NOT COMMENCED WITHIN 180 DAYS OR CEASES MORE THAN 180 DAYS. <br />FEES: <br />07 COMMERCIAL ELECTRICAL $117.50 <br />Percent Credit Card Fee $2.70 <br />TOTAL FEE $120.20 <br />TOTAL FEES PAID $120.20 <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 />E2401-018 <br />—APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />