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<br />Bldg�'�, 6-plex
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<br />��'�� iiQ $�,� � � rYi E'� <'7 i � �.. �. t , � �I �.� i"C `r,;, i I , \� V/-`, �� �; � ij �
<br />:;`)1j lw��ul1ti�`fG' - {-��a:� �%�J ��"�1-i3�.�J —1/+i'i,'�itN `:17c�'Ea'ii1(:i�' ��f';.;
<br />1920 112tii Place SF
<br />;'i�Ca?���`,`' ����?i�G�:'`u�
<br />Siiver Lake Centcr, �LC 11624 SE Sth St, Suite 1(}0
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<br />7i�dn;'r r�/lail F.ddrr ss
<br />Bellevue WA, 98005 425.586.7700 _
<br />� Cif�r � StatEl'Gi�, � ;'hone
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<br />T�i1an� � hJiailP,ddt�ss -_.^ City 5ta;e/7i� I'han;:
<br />Gamer Elecfric Washington, LLC 22425 - 72nd Ave S. Kent WA, 98032 253.f372.6051
<br />a, __... _ —_ �.,�__._ �...
<br />Ele�itic�l Cond.C�c��t�� Pt�ail nc{dres� CiEy �tate/�ip PI-�one
<br />603-397-084, exp. a5107/16 _ __.__ .�__
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<br />State Licehse �furn�zr {required) Ci�y oi ��J�rett �usin��•s LiCeris� `Juir�l��r frequire.d)
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<br />has not been contracied at this time
<br />residential 6-plex townhome ---
<br />Pro�osed l�se c�f E�iic�ii7g __.._ .__. : _ --------- �:oreYract F'rie.� or'�IVork
<br />"11,288 SF (6-plex total), 7_, 10f SF for E3 unit �l 1920 112ih Place SF Ciiil Daniels, Principal
<br />$�uare F��afage: (If resi�erti=<I ne�f�� cor:struction, ii:iricdei �r adcfiiion) Contact Person/Contact Ni.iniber/Fm�il
<br />h�lum�er of devices (i� lav� ti�niYage)
<br />�e;.crif3PiUn ot VVrJriC tG �� ���ne: T nll required elecirical work for new residential 6-plex townhome
<br />FEE � �
<br />C:47Y �F El(EF��'3"�' E.Q�fi,� ��kLE�'��� Ct�C3� l5 3'iQ� �:Q D�
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<br />l her�by c�rtify that 1 t»�,r� re�d ard �x�minecf tf�is applir,�fion artd Krac�w the sarnc ta be irue ar�d
<br />correc#. A!1 prnvisioi�s ofta�vs and ordln�nccs govemfng tnis fype oi work v✓i1] be completeri —
<br />whett�er'specrfred herein ef•nof. The grantin�a of a petr���it does not presctme (o gi�.�e aufhcnly to PCP.�I�I �
<br />violate or c�nc•�l tlfie pr��wswns of any� <�t.her stafe or locai laia� ?�yt;lating corisirx�cfian or the, q�.e.�
<br />perrormance pf cens�ruct!on. � fiat 1 arn authoriz�d �}y f{�e ownerof fhis prvperty tn periom� the ���`� ��� �
<br />work for �vlrir;� anp1l���iroia.rs ra��d�; �nd ! cora�ply t��;[b the Sfa�e G�ntracfrs �a�N 1�3.'7 RCVI/�and �
<br />296.?QO bt/AC.
<br />�,cr. t vr�. � ��i.S.�R-� <. 1�.:; ;_._ ___ ����i—`�� � �
<br />'��S(gnaiure i Data � ,
<br />r�et�tsc��do,�or�zoaa
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