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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: E2305-167 ISSUED DATE: 5/22/2023 <br /> JOB ADDRESS: 12800 19TH AVE SE 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: YESCO LLC(ELECTRICAL) <br /> Providence Med Center,LED Retro IN EXISTING MONUMENT SIGN <br /> PO BOX 25666 <br /> Install LED illumination into existing monument sign,Open/Closed portion SALT LAKE CITY,UT 84125 <br /> PHONE: (208)908-8847 <br /> AMPERAGE: 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: ACKNOWLEDGEMENT OF CONDITIONS <br /> 07 COMMERCIAL ELECTRICAL $117.50 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 $2.70 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 $120.20 <br /> TOTAL FEES PAID $120.20 <br /> TOTAL FEE $0.00 <br /> City of Everett Local <br /> REMARKS: Sales Tax Code is 3105. <br /> PERMIT NO. <br /> E2305-167 <br /> —APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />