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azi ELECTRICAL CITY OF EVERETT <br /> EVERETT PERMIT PERMIT SERVICES <br /> 3200 CEDAR STREET EVERETT,WA 98201 <br /> WASHINGTON (425)257-8810 <br /> Online Inspection Request:onlinepermits.everettwa.gov <br /> PERMIT NUMBER: E2211-008 DATE: <br /> JOB ADDRESS: 1815 LELAND DR APN: 00393900301404 <br /> OWNER: TAN JEFFREY T USE OF BUILDING: RESIDENTIAL ALTERATIONS <br /> PO Box 1128 TENANT: <br /> Mukilteo,WA 98275 <br /> PHONE: (206)661-5204 <br /> PHONE: <br /> DESCRIPnON OF WORK: CONTR: NW NATIVE ELECTRICAL INC <br /> electric vehicle charger <br /> PO BOX 1128 <br /> 50 amp existing panel,charger unit said not to GFCI MUKILTEO,WA 98275 <br /> PHONE: (425)583-0332 <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 /> By purchasing this permit and commencing work,the owner/applicant <br /> 12 CIRCUITS ALTER/ADD 1-2 $75.00 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 /> TOTAL FEE $75.00 <br /> TOTAL FEES PAID $0.00 <br /> TOTAL FEE $75.00 <br /> City of Everett Local <br /> REMARKS: Sales Tax Code is 3105. <br /> PERMIT NO. <br /> E2211-008 <br /> APPLICANT/JOB SITE COPY TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />