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12800 19TH AVE SE STE 270 2024-09-18
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12800 19TH AVE SE STE 270 2024-09-18
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Last modified
9/18/2024 2:04:11 PM
Creation date
8/16/2024 10:31:29 AM
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Address Document
Street Name
19TH AVE SE
Street Number
12800
Unit
STE 270
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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: E2407-115 ISSUED DATE: 7/19/2024 <br /> JOB ADDRESS: 12800 19TH AVE SE SUITE 270 APN: 28053000407201 <br /> OWNER: PROVIDENCE HEALTH&SERVICES USE OF BUILDING: COMMERCIAL ALTERATIONS <br /> 1801 LIND AVE SW#9016 TENANT: PROVIDENCE MEDICAL CENTER <br /> RENTON,WA 98057 <br /> PHONE: <br /> PHONE: <br /> DESCRIPTION OF WORK: CONTR: EVERGREEN POWER SYSTEMS(ELEC)INC <br /> OFFICE BUILDING ONLY,FRONT DESK AREA,2ND FLOOR <br /> 3623 E MARGINAL WAYS <br /> SEATTLE,WA 98134 <br /> PHONE: (206)774-1400 <br /> AMPERAGE: CONTRACT PRICE OF WORK: $500.00 <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 $57.50 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 $1.32 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 $58.82 <br /> TOTAL FEES PAID $58.82 <br /> TOTAL FEE $0.00 <br /> City of Everett Local <br /> REMARKS: Sales Tax Code is 3105. <br /> PERMIT NO. <br /> E2407-115 <br /> _APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />
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