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3102 BROADWAY 2018-01-02 MF Import
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3102 BROADWAY 2018-01-02 MF Import
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Last modified
12/19/2019 2:42:35 PM
Creation date
1/24/2017 4:01:27 AM
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Template:
Address Document
Street Name
BROADWAY
Street Number
3102
Imported From Microfiche
Yes
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� �H <br /> > Hy � � <br /> K� � CITY OF EVERGTT DATE � � � �9i <br /> H Xf <br /> �N "'�9 ELECTRICAL WIRItiG PERMIT APPLICTTION FEC S�S �� SD <br /> !n H <br /> Z <br /> � � d �oe ADDRESS �/O� ��i�iP�/-r/�9[/ i/�'l%T G1�,9, <br /> OH <br /> n�� TENANT <br /> y y� PAOP6RTY OWNER /� //��p`:J�/l ��N/11/V <br /> � n <br /> Cy Vi H ELECTRZCN. CONTR7�Ci0R // T�"Lz��TI��� G� <br /> O � /� ���J <br /> ��" � CONT}tACIYJR'S ADDFtESS � 7'r�� S� �'��th n`��l/� �^�" ���/ <br /> CITY ZIP <br /> �30tn <br /> LICENSE NO. ,p�.�.G�iit�r�I.�J�� EXPIRATION DT�TE ' �� ' I <br /> ADMINISTRATOR //i L C�/PI�/-S P��ONE NO. ��� 7�ZX �_����_ <br /> VALUE OF WORK ��. G-!"� (do not include taxes) <br /> lEor commerical work) �« <br /> USE OF IIUILDING �.!'y'iiT �/�/fL� <br /> NOT&: WI�C 296-4G-190 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of Washington. <br /> npplicants with such jobs must show Lhe State approved plans before a City <br /> -.� of Everett permit will be issued. <br /> ����� NOTE: Wiring in non dwellings is required to he in conduit. <br /> 1 ��' wo� � B� �N�: _ . - <br /> i tisr -,� - c i s - �%^� <br /> p�'�EiP��icr �.r�.�--5 FviP /�L�'.9�� Li�i�i�/✓T��11_.�=�1G <br /> I �r <br /> j T <br /> 't� <br /> � <br /> �� � , <br /> � � �/,� � /r . • � �� <br /> L� ) <br /> � �I� SIGNfiD: (/�� ' / Z� �'I��-� �_ DATG: c [. � <br /> � � l <br /> � <br /> I �1��. <br /> 4� <br /> 3/27/90 <br />
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