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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: E2503-210 ISSUED DATE: 3/28/2025 <br /> JOB ADDRESS: 2612E GRAND AVE APN: 00516859202000 <br /> OWNER: JACOBY ROBERT/MARTA USE OF BUILDING: RESIDENTIAL ALTERATIONS <br /> 2612 E GRAND AVE TENANT: <br /> EVERETT,WA 98201-3306 <br /> PHONE: (206)240-1205 <br /> PHONE: <br /> DESCRIPTION OF WORK: CONTR: ECO ELECTRIC&PLUMBING(ELECT) <br /> (1)20A circuit,(1)GFCI outlet,(1)switch&(2)outlets <br /> PO Box 468 <br /> We are installing(1)20A,120V breaker for shop power,(1)GFCI outlet next Mercer Island,WA 98040 <br /> to the door,and(1)single pole toggle switch and(2)switched duplex outlets PHONE: (206)670-6943 <br /> AMPERAGE: CONTRACT PRICE OF WORK: $1,500.00 <br /> PERMITS EXPIRE IF WORK NOT COMMENCED WITHIN 180 DAYS OR CEASES MORE THAN 180 DAYS. <br /> FEES: ACKNOWLEDGEMENT OF CONDITIONS <br /> 12 CIRCUITS ALTER/ADD 3+ $100.00 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 $2.30 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 $102.30 <br /> TOTAL FEES PAID $102.30 <br /> TOTAL FEE $0.00 <br /> City of Everett Local <br /> REMARKS: Sales Tax Code is 3105. <br /> PERMIT NO. <br /> E2503-210 <br /> —APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />