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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: E2410-190 ISSUED DATE: 10/28/2024 <br /> JOB ADDRESS: 900 PACIFIC AVE APN: 29053000200300 <br /> OWNER: PROVIDENCE HEALTH&SERVICES-WASHINGTON USE OF BUILDING: COMMERCIAL ALTERATIONS <br /> 1801 LIND AVE SW#9016 TENANT: PROVIDENCE WOMEN&CHILDREN <br /> RENTON,WA 98057 <br /> PHONE: <br /> PHONE: <br /> DESCRIPTION OF WORK: CONTR: VECA(ELECT)ELECTRIC&TECH LLC <br /> Prov Pacific Campus Medical Vacuum Pump Replacement <br /> 5614 7TH AVE S <br /> Replace Med Vac Pump Skid *Load reduction*SCOPE UPDATE:TEMP POWER SEATTLE,WA 98108 <br /> *REVISION AFTER ISSUANCE APPROVED 11/26/24* PHONE: <br /> (360)439-3254 <br /> AMPERAGE: CONTRACT PRICE OF WORK: $5,000.00 <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 $192.50 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 $4.43 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 $196.93 <br /> TOTAL FEES PAID $196.93 <br /> TOTAL FEE $0.00 <br /> City of Everett Local <br /> REMARKS: Sales Tax Code is 3105. <br /> PERMIT NO. <br /> E2410-190 <br /> —APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />