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1809 BROADWAY 2016-01-01 MF Import
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1809 BROADWAY 2016-01-01 MF Import
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Last modified
1/23/2017 10:34:16 PM
Creation date
1/23/2017 10:34:00 PM
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Address Document
Street Name
BROADWAY
Street Number
1809
Imported From Microfiche
Yes
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OS/O1/2�06 �8:09 4253584176 aDT SECUP.ITY SERVICE PAGE �1 <br /> nva-io-uy rrti iu�yc nn CVCKCII YtK�ll atKvi�tS hRx NU. "25 257 0857 P, 01 <br /> El.ECTR'CAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 5 _l --� 6 <br /> 3200 CEDAR STREET, EVEP.ETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857 -www,everetttva.org �0605-��� <br /> APP�ICAT�oNS ARE ACCEPT�[)FROM 0 AM 70 4 PM -�EBfT& CREDIT CARDS ARE NOT ACGEPTED <br /> I Boq i3P-o�o w�-� <br /> PROJECTAI)OhE.�`'� <br /> O�vner � � MauAaaress City S�atr.2ip Phon¢ <br /> y-2r <br /> A�irJu�s 5t� IBoS f3R.�WA'-f �.��a� W� �i82,o1 ?.s5 - s��a <br /> Tel�ant MeBAddrees City St-M/'Lip Phoie <br /> C �LJ_-�W� <br /> �FD I �,�[.��2�,y $Favues U8z4 hla2nrco.ew_ ��wy ts �ios �f�! 425-�+� 5z4ti <br /> EleCiriC91 Contractof Mnil A.dOrc�a City Stato2p pt�no <br /> F����S�Si(�32o:, �-25-���,�a. �jpcY�«� <br /> 8tate L.Icense Number ConVact Price of Wnrk <br /> �D3Q?�Jr 42S-�fY78-52`/�1 <br /> Praposcd Use of BullrJing Contact Person (Plan Revlaw) <br /> DsscriptionolWorkto8opono; 1�+1.1i7 "'SD f�c�bTttJE. Scc.utZ�Z"� SyST�� <br /> NOTE: WIRINCd IN NON-DWEI.LINCiS IS REqUIREO To FEE <br /> BE IN RACEWAYS, A9C OFt AC CAB�E, <br /> CITV OF EV[R6T7 4CJCAl 3AL65 TAX COOE 19 7705 <br /> Ihu�oLyeorlilylhatll;ave rCedaROox7ri71hOtlgl39ppll�ntlon ��o(nrorAhwi�l�beeonb�����anrJ CJ�`��� _�LI <br /> comEcf. �ll nrovielon.^o(laws and ordlnnnces ovcmin (A/s t <br /> wheth[�r spFC+freU he1eM or nof. The A�a�tlng o(a permd dorsYnot rosumo(o ghm author!(y to <br /> vlo�nfa o�cance!fhe provis�onu o(any ofher stefe orlocnl/aw r�guPaSna consfivctl�n er tAe <br /> palorm�nce o/con5lrueUon, Thnr I am oufhodz�d by thn nH�pr c(Ihls Frope�iy ro porfcnn the <br /> �vrnrr;or whrch oppucatlon!s meoe nnd I eonip/y u^th Gie S7ofN Contraelws L�w 1B.27 RClYantl � <br /> 7.S 6,Zpp t5 A C. , <br /> � <br /> 1 � ..ipnalwa � �`/—O b <br /> I <br />
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