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1905 BROADWAY 2016-01-01 MF Import
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1905 BROADWAY 2016-01-01 MF Import
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Last modified
1/23/2017 11:07:13 PM
Creation date
1/23/2017 11:05:55 PM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
1905
Imported From Microfiche
Yes
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,�. , <br /> CITY OF EVQi[TT DATE: <br /> dECiRICAL WUtING PQ3MIT APPI.ICATION F«' _----- <br /> J0� ADORESS ��0 y �i?c.;Prp U��'j . <br /> �rwr �✓En C�7- /��f3% C�� <br /> �oa�n� oi+rm <br /> 0.ECTRICAI. CONTRACTOR gc�(�1 JUEs'N •I �c , . <br /> LICENSE N0. F'jcfL(z`1 /UC 3`�� �C , EXPIRATION DAT[ 2�zB�9a � <br /> ADMINIS'fRl1TOR SJ�C�`✓C �2No`^� PHON[ N0. '77�- �� <br /> VALUE OF WORK �25�� �� �do nol includc taxcs) <br /> (for'eommercia work <br /> USE OF OUILDINC �E'7 A'i C , <br /> F107L: WAC 29G-4G-140 requires Lhat plans for cicetrical work �r�h�d�5tatcnaof <br /> instituLional or licalth carc facilitic:. bc approvcd by <br /> beforc9a�CityAo� EvcreLt permiL- will bc issucd,�how Chc SL•atc-approvcd plans <br /> WORK TO DE DONC: �1 <br /> " �U'�fzl U1� S/6N OJ" ' �111R'1-�-- <br /> NST C i S � i I �L� t <br /> S/GN eRo7-Ec.'7�JJ� <br /> . � F iA��oP l���tn�� N�•rc� . <br /> -�l�on� w �- <br /> ) � � DATE 2-'�''g/ <br /> SIGNED : ' <br /> NOTES At� COMN[NTS: . <br /> i . <br /> G/10/II7 <br /> 19201i ' <br /> , . • <br />
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