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2802 BROADWAY 2016-01-01 MF Import
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2802 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 2:59:09 AM
Creation date
1/24/2017 2:58:00 AM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
2802
Imported From Microfiche
Yes
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� <br /> MAR-3-2006 �8:22A FROM:f'f?OFESSIOIJRL ELECTRI 360 4?5 1182 T0:425�k3857 P.1 <br /> � <br /> ' ELECTR�CAL PERMIT APPLICATION <br /> �� CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 96201 <br /> i 425•257-8810 - FAX 425-257-8857-www.everettwa.org <br /> ' APPLICATIONS ARE ACCEPTED FROM 8 ANI TO 1 PM <br /> � 2 f3v •L �3�-�� <br /> _ .,/w�. `� <br /> PROJECT ADDRE55 <br /> i ���'1=,.J�'7-.7/`// <br /> j V���N �PPi � o-� /�.,,���� /'U r� �'.3� /�✓�P!`�' t✓/I S��o� _ <br /> � Ownot MaIIACtlresa City SWIe21p Phone <br /> ( <br /> TenOnt Mall Addresa Cily Slate2(p Phone <br /> /� J'Eo-�,r�J= 6>/,Z <br /> ! ���tlfY,j 1/CJi+o � ���vt l��C /�U /j 6�/`l /�/ �.••ole•, Ll�/� Slt,�.�� <br /> � ElectdcalConUactor Ma�lAaaress L'u� Sta�oK�p Pllone <br /> � <br /> q�/�.�r �=��1'Uy7k'�( ;/aU <br /> JIA:A LiC90R9 NURIbBf Centrect Price of Work <br /> ��T'C� <br /> Propose0 Use of Bullding Conlact Person (Plan Roview) <br /> -� <br /> Doscdption of Work ta Ba Done: rr f �E / � -f}�1�� �✓� � � !���.-.-� <br /> _.�/�e.vl� r /r[ i �J ---- <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. 7 � f � <br /> J <br /> CITY OF EVERETT LOCAL SALE9 TAX CODE IS 3705 <br /> 1 hereby cedlly thef 1 hev�3 roed anAexamined Ihis epPlicnlion and know Iho sar,io 10 bo truu and <br /> correcC All pro�is(ons o/lews end orAlnances govorninp tL,:'�pe ol work will 6e completod <br /> whefber spocllied herein or noL The grenfiny ol a pormif doos nol rusumo fo givo eufhority fo <br /> NolafeorcancelfYo prov'sionsnfanyothersfefeorlocellewreguPalingconslruchonurthe <br /> peAormenco of consfrucGon. Thef 1 am eu(honzed 6y fhe owner ol this proporty lo perlorm fhe <br /> work lor wbich epplicafion is mado and 1 comp;y wllh IAe Slafe Confracfors Law 18.27 RCIN and <br /> 296.200 WAC. <br /> I ��/ /�-�s.. 3- 3 �� , <br /> SlOnalwa oa�n i' <br /> �. ��� <br /> , �,"7 <br />
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