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3809 BROADWAY SOCIAL SECURITY ADMINISTRATION 2018-01-01 MF Import
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3809 BROADWAY SOCIAL SECURITY ADMINISTRATION 2018-01-01 MF Import
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Last modified
1/3/2019 7:13:48 AM
Creation date
1/24/2017 8:17:22 AM
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Template:
Address Document
Street Name
BROADWAY
Street Number
3809
Tenant Name
SOCIAL SECURITY ADMINISTRATION
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-----�-----�-----�-----�-----�-----�-----�----- <br /> � <br /> ELECTRICAL PER,MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 4/�b��Z <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-BB57—www.eveiettwa.org C ��� -0.7 Z <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 1 PM <br /> �gc� �.d,�.� <br /> PROJECT ADDRESS <br /> S� � �� � <br /> Ow�e� MYI Add�066 G�tY Shk21p Phorw <br /> �(',�LnA �l�.ldiVL�/] ��AA�Y1l��S1'1 <br /> Tenent M '. �s° �Y SkW�P �o'� <br /> r.J l0 l Gt�f.tit:k�f 1.�' �-� 425 �Kti <br /> EI@d�ia otftfdCtof ail AddrCbs �nY �te� �o� �L <br /> E�I�R[��Z l I �l� ,,,.�... �-l�q ?J-4 . a5 <br /> State Liaense Number Contred Pria ot Wurk <br /> (��rn�P�'c,i�Jl �,rGt.1R tYlu.r►-c�.�-.- <br /> Propoua Use of BuiM��p Contnct Person (Plen Revie�y <br /> ' R.�,l.c al�l�¢ S'�Gu.v� <br /> Desaiptlon ot H1oi1c to Be Done: r�� <br /> U� A� n l � �(1. � -- <br /> M M� �r� ' �/ cs� a-o�� <br /> �'n� -ed t� �.�w-�� . <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERE7T LOCAL$ALES TAX CODE IS 3105 �7r1 <br /> 1 hersby certify fhaf I have read an0 examined this applic�,iion and Imow fhe s,ema ro be frue anJ G�2v��v rA <br /> correct, All provislons o/laws and ordinarrces goveminq fhis rype of wnrfr wlfl4a.aompleted <br /> whefher specilied here�n o(not 77ie gr.+nting ol a permR dces nofDresume fo q�ve aullaAry fo � <br /> viofate or esncel the provisrons o�any other state or locel law reguleGnp conatrveNon w the <br /> peAormence oI construcfion. 7haf I em eutAo�sed by Ne owner o(fhla property ro peAom+the <br /> work kr wbicA anP���fron is mede and�comply wifh the Stafe Contracfora Law 7827 RCW and <br /> 296.2G0 W <br /> 3 � a <br /> ature oa�e <br /> �`��.��ak�l:� �...' s '��-�G—IaDI - O(��j <br />
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