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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: E2408-076 ISSUED DATE: 8/12/2024 <br /> JOB ADDRESS: 1510 BROADWAY APN: 29051700302000 <br /> OWNER: JORGENSEN-KEY BANK NA USE OF BUILDING: COMMERCIAL ALTERATIONS <br /> KEYTRUST CO NATL ASSOC TENANT: O'Reilly's 2502 <br /> Seattle,WA 98111 1510 Broadway <br /> PHONE: <br /> Everett,WA 98201 <br /> PHONE: <br /> DESCRIPTION OF WORK: CONTR: LUMENAL LIGHTING LLC <br /> installed 2 quad receptacles <br /> 21706 66TH AVE W <br /> MOUNTLAKE TERRACE,WA 98043 <br /> PHONE: (425)481-5001 <br /> AMPERAGE: CONTRACT PRICE OF WORK: $2,000.00 <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 $102.50 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 $2.41 and save harmless the City of Everett from any and all claims for <br /> Percent Credit Card Fee $2.36 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 $107.27 <br /> TOTAL FEES PAID $107.27 <br /> TOTAL FEE $0.00 <br /> City of Everett Local <br /> REMARKS: Sales Tax Code is 3105. <br /> PERMIT NO. <br /> E2408-076 <br /> —APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />