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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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CITY OF EVERETT �ATE: fI/`�� � � <br /> T� <br /> �� ��� <br /> ELECiRICAL WIRING PERMIT APPLICATION FEc: <br /> JOB ACCRESS �-�� J �/�QQL^ �u V <br /> TENANT ��Y�Q(/J/�_�'�f� �el V' (/�a S �t <br /> FAOPERTY OWNER ( .(� Y �UCt S //� lG i'1 �f�7��� ,S �:' �E�c� // �� <br /> ELECTRICA� CONTr2ACTOR �(�,fr� {� r- <br /> LICENSc N0. EXPIRATION DATE <br /> yyy��� J �7 /�-+� ,,1 <br /> ACMZNI57RATOR ����Uad�E- PHONE N0. �b � -2J7CK� l JFt�1�e) <br /> Oo <br /> VALUE OF WORK GG� �do not include taxes) <br /> (for commerciZ work � <br /> USE OF BUILDING ��2 1' �/UQ S'�l <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educakional, <br /> inatitutional or health care facilities be approved by the State of <br /> Washington. Fpplicants with such jobs must show the State-approved pians <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> �iC��� re Z � 1�� /�� �� l�r'��r- lttota�` s �. Co�-� �r�,ls- "� <br /> SIGi:ED : ���o (L��-z-�C n DATE �� i cS"1 <br /> J <br /> r�orEs ar�o co�nn+eNrs: <br /> 6/10/87 <br /> 192EH <br />
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