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3523 BROADWAY 2016-01-01 MF Import
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3523 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 6:29:35 AM
Creation date
1/24/2017 6:26:55 AM
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Template:
Address Document
Street Name
BROADWAY
Street Number
3523
Imported From Microfiche
Yes
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i <br /> CITY OF E'JERETT OATE: � ;' �� 7 _ �II <br /> �_tECiRICA4 WIRING PEAMIT APPLICRTION FEE: <br /> � <br /> ,i0F3 ADDRE55 _ �'S�- /�%� uq py�.��� S% ��i�-'-�=-2Tr-'7- <br /> TE;JANT <br /> FROPERTY OWNER �l"�[M� 3U /��4� C'�-t'�' �✓'� S� <br /> EL'=CTRICAI CONi'ii ACTOR �� � •�i�' ���� <br /> LIi.E�S� N0. /�,¢1 �s� /' ,� ?if��� U EXPiP.ATION DATc <br /> ACMINIS�ATCR � - v r /f h✓a � Y [ c.5"�9 FHONE N0. �''-�� y'r� �� <br /> VPLUE OF WGRK c� ��� (do not include taxes) <br /> (for commercia work) � <br /> USE OF BUILDSNG S�y:z r.v� S! <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educaticnal, <br /> institutional or health care facilities be approved Cy the State of <br /> Washington. Appli�ants with such jobs must show the State-approved plans <br /> beforc a City of Everett permit will he issued. <br /> , WORK TG BE DONE: , <br /> •---_ <br /> �y/S� ,5 ���2 /.'� �°'� /�/%�/^ �d L � _ <br /> C' Y 9' -- <br /> ra,�r� �y� z ���s <br /> /�� /� � �� ----, <br /> szcuEo : ;/ .� .,�� y�- � �= _ oaTE ? ___ <br /> NOTES AND COt�f�E1 NTS c % <br /> 6/10/87 <br /> 192211 <br />
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