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<br />Bldg 1, 6-plex
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<br />2026 - 113th Plar,e SE -
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<br />Siiver Lake Center, LLC 11624 SC 5th St, Suite 100 f3ellevue ____,__�_�NF�, y8005 425.586.7700
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<br />T�I�af�t � �V f��laii Ac7ciie,s C;ty � 5ia'.el�ip }'Y;one
<br />Garner Electric Washinr�ton, LLC 2'l_4?_5 - 72nd Ave S. Kenf f��NA, 98032 253.872.6D51
<br />� � �IeG�rit:�l GO;�f�'aetol' � �� i�;�aii �dc�ress � ��City � st�te/zip � � �Phone �
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<br />� 603-397-084, exp 05107/16 --.--------
<br />� Si�Y�: L.icens� �tumbar (req�irEd) .�_� -- Csiy oi Ever�tt Business Lir4nsa IVearrtber (required) I
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<br />residentia! 6-plex townhome has no[ been contracted �t this time __ � �
<br />I'ro.�ar�se� Usc; ofi E�ai6di;ty � ___ .�_....._.---- r:or�traei Frice �f VUorl<
<br />11,288 SF (6-plex lotal), 1,788 SF for E18 und (cil'L026 - 113th PL SE Bill Daniels, Prinr.ipai ��
<br />Square Fopt�age (If residentiai neiN c��nGfruction, femcd�i ar addition) �oniact Peteon/C�ntacf NarnU�rl�m:�il
<br />Number of devices (iilov,� vnitagrj : _
<br />D�SCtij��iiot'i o� Worlt #p 8� f�nt7e: _ All reyuired electrical work for new residential 6-plex townhome _
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<br />CiT'� +J� EV�F���""f LS���,�. ��'L�S i`!�X Gt�tJE 1� 31di� �`
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<br />1 her�hy car#ify.fhat t fr�ve rc,�o' an�d ehaniin�rl tbis anplfcatlon and f<raow tne : ar�'re t� t,e iruo aiid
<br />cc�rrecf: Al( prUvisiot�s of laws and urdin'arrces goven�ing this fype of avarltvri!! 6e �r�nrpl�fecl
<br />i wf7efitrers��r.ifreci herein or no% Ttte grar�t�nr� of a p� ri7ir rtoes nof Presurne to gr,�e-Q�thority fU PERf�ill �t
<br />viotaie a� �z�rr�l the provisiw�� ofary ofhersfaie �r lor,a!laiv re��ulabrir� cranstructron orfhe �
<br />1 ps;�orrnance of consfrcir,tion. Thr�t 1 sm au(horizcd �y IPi� o�riet uf lnis pf�per(y fo per7arm ttie ����� .- ��
<br />�v�rtr foi �vlriclt ��plraaf.�on r.� n�:�de and I comply w�iih the 5tate Co+iir�cfic�rs i_atv i8.2� RGN/and
<br />� 296.200 �IU,4C.
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<br />' .�_.— . Sign�fure '; Date
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