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3631 BROADWAY 2016-01-01 MF Import
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3631 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 7:09:58 AM
Creation date
1/24/2017 7:09:31 AM
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Address Document
Street Name
BROADWAY
Street Number
3631
Imported From Microfiche
Yes
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7� ':E '�J13 MEu 7 ;: Of Fr,x 77D7725502 Rcgern Electrf.c �'v:9!:I: <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEftETT,WA 98201 2���� <br /> 425-257-BB10 - FAX425-257-8857—www•evcrottwa.wg <br /> APPLJCATIONS AFtE ACCEPTED�ROM 9 AM TO 4 PM C r 30�-o�� <br /> PRO-�D� �`t��G t'I g U <br /> I�UGIG,s Z (p -3 I S <br /> ��G�t_'�r""u'Y��I�cl.�?�n l 111u1� �I.Z •S S�l� tl�a,q�l3`� �5 7 5 <br /> g MaIIAdAress Clty 3tale2lp F'hone <br /> Tenant IAaI1MErew ciy slate2ip Nnone <br /> U��• 1° �,!�__�u(���.OS(1V�AX�lm6�r $tC (l.Y.f _- ? � <br /> C.ICCtriCBIC treGlor MillAtltltCeO Clty 618te/Zlp �,a^.�zi'��9 <br /> �r. i .�.,�br�o��510�s1 �Sa � � <br /> State License Numbar Con rect Prlce of Wolk <br /> !�tll Y �As�/A_%ir.�..s(e,� _ <br /> Propo� eed�Use o -Xullding ^ ConWd Parson (PIB�Revlev� <br /> Square Footege(If redtlentlal new oonetructlon,romodel or sdditi�n) <br /> Onealptlon o1 Work to Be Dorro: I I�i[�I I �1� IZ O� 2AA GYla�rf t��r� <br /> � V ' <br /> NOTE: WIRING IN NON-DWELLINGS 13 REQUIRED TO FEE <br /> BEINW4CEWAYS,MCORACCAHLE. � /,�.(� <br /> l.0 <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS�106 — <br /> I hereby Cn:tily Ihnf l hnvm m�Aand oxemined Ons apv�rcrhm�and 6now fho somo fo bo Irue an0 Y' � � '^�?� <br /> comrct. 1111 promsions oi laws and ortlinpnctis Bnvominq Ihl^typo o(woik wdl be complofod C � v J <br /> whnfhnr spncibnA hnroln or not. Tho pmnllnp o!e perrnrf Jues nof pmsumo fn qfvo aulhwrty fu <br /> violefe w ca�ce/Ure provisions vl eny OIAar slnfo or lor,al Inw roqulelinB�nsfruc6on orlhB <br /> pallormonco ol conalrucf/on. Thaf I om eufhonzeJ by tbe ownerol this propoAy to pur/orm fhe <br /> work lor which applica(ion is modo ond I crmpty wlih fha Sfalo Confraciors Law 18.27 RCW and <br /> 29fl 200 WAC. <br /> , ��v ���— <br /> �gn uro � <br />
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