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'D � <br /> ` '° JOBSITE COP'� <br /> ��`�S�D' INDIVIDUAL OWNER <br /> F�� .�r <br /> �`�"e'`�� ELECTRICAL WORK PERMIT # EP2573777 <br /> Contractor Name License Number Installation Description: <br /> 670 SQFT ADDITION <br /> Purchaser's mailing address --- --------_— -�- �---- <br /> 10115 23RD AVE W Services to inspect: <br /> SNOHOMISH WA 98204 Description Quantity Amount <br /> Telephone number FAX Number <br /> (425) 737-8368 ( ) - - Single or Multifamily <br /> Residential New Construct ' 670 � $90.30_; <br /> Premises owner's name It1SpeCtiOn fee: $90.30 � � � <br /> SAVCHIK, STEPAN The department will perform 1 inspection for <br /> permits where total fee paid on permit is less <br /> Address of inspection thari $g9.79. FOP ri10T'e t11ari 1 1riSpeCt1011, <br /> 10115 23RD AVE W <br /> EVERETT additional fees are required. <br /> Adclitional Fees May Be Assessed Upon Field <br /> Power company IIZSjIBCtlOIZ <br /> Snohomish County PUD <br /> This permit expires one (1) year after the date of purchase. <br /> Applied: 9/14/2015 Expiration: 9/14/2016 <br /> Date Approved By Date Approved By <br /> WA L LS <br /> Insulation Only SERVICE <br /> Cover _ FEEDER <br /> CEILING <br /> Insulation Only THERMOSTAT <br /> Cover DITCH <br /> Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector <br /> �� A <br /> �IS ��.�-�� � <br /> Property Owner: Retain Permit Number for your records <br /> Attention Applicant! The Department will not conduct this inspection if there are unrestrained <br /> animals on the premises. Failure to comply with this requirement may result in additional <br /> inspection service fees and delay in service. <br /> http://lield-services.apps-inside.lni.wa.gov/pairspermit/rptPermit.aspx?AppID=101 9/14/2015 <br />