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� ELECTRICAL <br />PERMIT <br />PER�fIT NUAI6ER: E0309-111 <br />ioonooR�ss: gyz� EVERGREEN �YAY nrH: <br />owNek: IIERG MINNIE <br />12417 3GTH AVE SL <br />EVERETT <br />riaonc: 4253377540 <br />UGSCRIPTiO�OF WOW:: <br />INSTALL 3- 20 AMP CIRCUITS <br />pUP[RAGG: <br />WA 98208 <br />eT Y OF �VERETT <br />PERMIT SERVICES <br />3200 CEDAR STREGT <br />L•VGRGTT,NA 98201 <br />;425)257-8810 <br />onTc: 09/30/2003 <br />00392300000305 <br />uscoenm�ome: �Tp�L <br />Tc+nrrr: JA LO COFFEE R JUICH IIAR <br />rnouc: <br />CONTINCf00.: <br />�5'OODFORD ELEC7'RIC SERV <br />1G430 6TH AV8 W <br />LYNNWOOD WA )8037 <br />4252528988 <br />muTancr rwce or �voaK: <br />NOTE: II'iring in nou-direflings is reqi�ired ro be in rnre�vaps, M1fC orAC �able. Alotcls�lmlels and facilitieslisted in Tables 1&? <br />nou•dwellings. <br />NOTE: Recrpfades, srritches, controls and ape•atiug mrdiunisms slml( belocalyd per /9971Vashingtou Sm(e 6uilding Code <br />$1,000.00 <br />PLRM11ITS GXPIRG IP 1'JORK NOT COMMBNCLD \VITI-IIN 130 DAYS OR CGASCS MORH TFIAN 180 DAYS. O9'30-03 3' 14PM <br />k 3D9111 <br />Tatal Fces <br />Tatnl Fees 1'aid <br />Total Fres Uuc <br />REh1AR1:S: <br />557.50 <br />50.00 <br />557.50 <br />ELEC 57..50 <br />TOTAL 57.50 <br />A OM4749 <br />(II:IC296-06-l55J a�e <br />Serlion fl06.3.:. <br />CHEI{ 57.50 <br />City of Gr�Kctt Local <br />Salcs Tax Cale is 3105. <br />I•ER�IIT \O. <br />E0�09-ill <br />n�oa�ss ru_� corv <br />