Permit EL07-680 - OBJECTIVE MEDICAL ASSESSMENTS

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Parcel No.: 0223200052 Address: 411 STRANDER BL TUKW Suite No: Tenant: Name: OBJECTIVE MEDICAL ASSESSMENTS Address: 411 STANDER BL, STE 106 , TUKWILA WA Owner: Name: MEDICAL CENTERS CO LLC Phone: Address: C/O NEWCASTLE SERVICES , 15642 SE 24TH ST Contact Person: Name: GEORGE GAHRETT Phone: 206 774 -9221 Address: 401 2 AV S #110 , SEATTLE WA Contractor: Name: HOLMES ELECTRIC CO Address: PO BOX 179 , RENTON WA Contractor License No: HOLMEEC549BH DESCRIPTION OF WORK: ADD LIGHT SWITCH/RELOCATE (2) DUPLEX RECEPTACLES (REPLACING EXPIRED L&I PERMIT) Value of Electrical: $500.00 Type of Fire Protection: Permit Center Authorized Signature: Electrical Service provided by: PUGET SOUND ENERGY Citof Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us ELECTRICAL PERMIT Permit Number: ELM-680 Issue Date: 11/13/2007 Permit Expires On: 05/11/2008 Phone: (425)255 -8666 Expiration Date: 10/31/2008 Fees Collected: National Electrical Code Edition: $70.00 2005 Date: I( (t3(" I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this wor . • 1 i • e complie wi , whether specified herein or not. The granting o this pe 't does not pre o give authority to violate or cancel the provisions of any other state or 1 al laws regulating construction • the p = ormance of w I authorized to sign and obtain this electrical permit. Signature: Date: /l Print Name: This permit shall become null . d void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/07 EL07 -680 Printed: 11 -13 -2007