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Farcel No:
525.FORSYTÈi l,N::iJNI'l'2:l 0
NORMÀN
EDMONDS,w,4. 9s020
airhandler and'ins heat puup
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(206) 378.6644
Date
GF.ON.ENERGI'SERVJCESc/o S}EFFIENSON VANESSA
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(i125) 37't-374s
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E.LÐ201 7t875
PI?IVATE,PR OPERTV., ON L Y. ANY CONS:TRUC TION.ON"T}IEREQUIRE SEPARA]E PERMISSION.
T"IIs ÞERIIIITAUTHÔR
.&Mechanical.Fínal Ðá \r {:+n {u-i
pecåi
call'ing o¡rlæcôi pilease.leave the fr¡ll gwi n$,i Fermit Nurnber,..{ttd¡es s,
Gontrador Name
WASHINGTON ENERGY SVCS
CO LLC
JOBSITE COPY
ELECTRICAL CONTRACTOR
ELEcTRTcAL woRK pERMrr izaeza.zelnstallation Descr¡ption:
WASHIESB54NG2 circuits for electric furnace and heaþump.
Purchas€¡,s mail¡ng address
3909 196TH ST SW
LYNNWOOD
Tetephone number
2062824700
Premises ownefs name
Norman, Bill
Address of inspect¡on
525 Forsyth Ln#210
EDMONDS
Power company
Puget Sound Energy
Applied:7t21t2017
L¡censê Number
wA 98036
This permit expires
Date Approved By
Description euantity Amount
to
iE
tnspection Fee: $62.00 'j, J
one (1) year after the date of purchase.
Expiration:7 t2Ot2O1g
The department will perform 1 inspection forpermits where total fee paid on p".rrriti, l.r,than $93.59. For more tLan t inrp.rüãr,,
additional fees are required.
Additional Fees May Be.4ssessed Ilpon FìeldInspectíon
WALLS
lnsulatíon Only
Cover
CEILING
lnsulation Only
Cover
Date Approved By
lnspection Date Area, Building or Equipment lnspected Action Taken Electricat lnspector
SERVICE
FEEDER
THERMOSTAT
DITCH
Property Owner:Retain Permit lrlumber for your records
ttþ4L1-
Attention Applicant! The Deparhnent will not conduct this inspection if there are unrestrainedanimals on the premises' Fãilure to comply with this requiremen tmayresult in additionalinspection service fees and delay in service.
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