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ELECTRICAL L�Ty OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 CEDAR STREE7' EVERETT, WA 98201 <br />PERMIT NUMBER: E1608-214 <br />JOB ADDRESS: 2121 W CASINO RD <br />OWNLR: <br />NORTHWEST EDUCATIONAL SVC DIST 189 <br />2121 W CASINO ROAD <br />EVERETT WA 98204-1472 <br />>>> ioNL: <br />(42�) 257-8810 <br />Inspection Line: (425) 257-8881 <br />DATE: �� � <br />APN: 28041400202500 <br />usE oF suu,DlNc: COMMERCIAL <br />TENANT: <br />Pf 30NE: <br />DESCRIPTION OP WORK CONTRACTOR: <br />INSTALL 3 POLE 15A BREAKI;R/RUN NGW 208V CIRCUIT TO SEAHURST ELGCTRIC <br />NEW COPIE <br />2915 CHEST'NUT ST <br />(8/24/2016 1:26 PM CRB) EVERETT WA 98201 <br />INSTALL 15A 6-15R RECEPTACLG IN 4 SQ [30X WITH RAISED <br />COVER AND INSTALL 1 BUCK BOOS'I' XNPM <br />4252581882 <br />AMPERAGE: <br />CONTRAC"I PRICE OF WORK: <br />PEKMITS F,XPIRL IF WORK NOT COMMENCED WITHIN 180 DAYS OR CEASES MORE THAN 180 DAYS. <br />07 COMMERGIAL ELEC7RICAL <br />Total Fees <br />Total Fees Paid <br />Total Fees Due <br />REMARKS: <br />FEES <br />$132.50 <br />$132.50 <br />$0.00 <br />$132.50 <br />$3,000.00 <br />- �- , -.--: <br />-�; �°, � �°; <br />-,, �� <br />. ... _ � <br />,__,. =:: ,� a <br />' _i <br />--� n <br />4�`��� I_'.- ( —'� � _ <br />'r:�. ,—�._-i <br />- - .. ;:. s <br />_� <br />I..J�] <br />i" . 7 <br />p_._. �-st ,�_o <br />_r>• F'n� rr.� <br />��7 —I <br />I L: 1 <br />I---` I--` <br />i <br />� r.�_a <br />'�M I� <br />I—� `�-: <br />t r, :�: <br />R �-1'j <br />;+t � ��� �f�r I�_g <br />i_. a ��. _. <br />f nJ 1_.nJ '. : <br />r..., �� e•�.� r.. <br />Y�n {�.F �-.t ��.� <br />-� ;�i o n <br />:`_� r_�n <br />—i --:] I-.-' <br />�__ <br />�__. �rt <br />City of Gverett Local <br />Sales Ta�c Code is 3105. <br />PERM[T NO. <br />E l 608-214 <br />�nnK�.ss r►�r coPY <br />