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CIPIT OF EVERETT <br /> -& ELECTRICAL <br /> \41 ,,ti PERIVIIT SERVICES <br /> PERIVIIT 3200 CEDAR STREET EVERETT,WA 98201 <br /> (425)257-8810 <br /> Inspection Line:(425)257-8881 <br /> PERMIT NUMBER: E1812-132 I DATE 21 Or 2018 <br /> JOB ADDRESS: 4721 BLACK FOREST LN APN: 29053100301600 <br /> OWNER: HARDY SCOTT S&DENA USE OF BUILDING: SFR DETACHED <br /> J <br /> 4721 BLACK FOREST LN TENANT: <br /> EVERETT WA 982033223 <br /> PHONE: 4255306227 <br /> PHONE: <br /> DESCRIPTION OF WORK: CONTRACTOR: <br /> (1)CIRCUIT FOR FURNACE <br /> WASHINGTON ENERGY SVCS CO LLC <br /> 3909 196TH STREET SW <br /> LYNN WOOD WA 98036 <br /> 2063786648 <br /> AMPERAGE: CONTRACT PRICE OF WORK: $630.00 <br /> Jr)r P <br /> rn <br /> C-7) <br /> PERMITS EXPIRE IF WORK NOT COMMENCED WITHIN 180 DAYS OR CEASES MORE THAN 180 DAYS. :•-.E1 <br /> rri <br /> 1.7.7a <br /> 1 N., <br /> I <br /> FEES n64 <br /> „ <br /> 12 CIRCUITS ALTER/ADD 1-2 $75.00 0 <br /> 0 <br /> C"3 <br /> —4 <br /> Li <br /> Total Fees $75.00 <br /> Total Fees Paid $0.00 <br /> Total Fees Due $75.00 <br /> City of Everett Local <br /> Sales Tax Code is 3105. <br /> REMARKS: <br /> PERMIT NO. <br /> E1812-132 <br /> ADDRESS FILE COPY <br /> M1610-0.32_ <br />