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�ECTRICAL �y �F EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 CI;DAR S'IRL:GT LVERETT, WA 98201 <br />, , <br />�� � 2:� i. - �� ;� �r � <br />PERMIT NUMBER: E1404-145 <br />�or� n��rzrss 3305 NASSAU ST 1ST FLOOR <br />OWNIiR: <br />PROV]DENCE GEN MED CTR <br />PO BOX 1067 FINANCE DEPT <br />GVERETT WA 98206 <br />i>iioNi:: <br />DI:SCRIP'I'ION OP WOKK: <br />4 TI IliRMOS"1'nTS- WA CFN"I'ER �OR PAIN MNGM'I' <br />AMPEKAGE: <br />(425) 257-88 ] 0 <br />Inspection Line: (42�) ?57-8881 <br />�Arr: _ � <br />APN: 00437578600100 <br />use or aui�v�Nc: MEDICAL OFPICG <br />TCNnNr WA CENTER FOR PAIN MANAGEMENT <br />PHONE: <br />CON'I'RACTOR: <br />GVGRGRGL;N Rlil'RIGI:Rl�"1'ION <br />727 S KGNYON S"1' <br />SL;/�'I'"1'I..1; W A <br />2067631744 <br />CONTRACT PRICE OF WORK: <br />PI',RM1"CS LXPIRC II' WORK NOT' COMMF,NCLD WITHIN 180 DAYS OR CI;ASI;S MORE 'I'IIAN 180 DAYS. <br />FEES <br />07 LV Devices <br />Total Fees <br />Total Fees Paid <br />Total Fees Due <br />RP.MARKS� <br />$50.00 <br />S50.00 <br />550.00 <br />$0.00 <br />98108 <br />����-�—��� <br />J �' ; <br />`; <br />� APR � 0 201� �,� � <br />�y..o:�` <br />. i^ 1�'-,�_.:. <br />��'����' ,_'��.i��.i� <br />� ., � <br />':'i:xiTi,., : -.1��� <br />City of Lverett Loc11 <br />Sales Tas Code is 3105. <br />PCRMl7' NO. <br />E1404-145 <br />n�uiz�:ss rn.i: coi�v <br />