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3809 BROADWAY US HEALTHWORKS 2016-01-01 MF Import
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3809 BROADWAY US HEALTHWORKS 2016-01-01 MF Import
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Last modified
1/24/2017 8:18:50 AM
Creation date
1/24/2017 8:18:30 AM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
3809
Tenant Name
US HEALTHWORKS
Imported From Microfiche
Yes
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�� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT. IIVA 98201 ��/4/�/ <br /> 425-257-8810 - FAX 425-257-8857-www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �II�D-Dlv <br /> 3�OQ <br /> �� �� -/ � �2f'�� <br /> PROJECTADDRESS <br /> ��� f��i ; �/l�> �j�`.��� ,��' �?�/ <br /> Ownar� Mail Address Ciy SWIeZP Phone <br /> Tenant ��` MailAddresa Clty Sta�elLP Phorp <br /> �� �P��� G� �,rl/�rc�e �CG,� �� <br /> ElecVical Contractor Mail Adaross City StaM1Lp � �� <br /> �.���������__�l� a a���.�� <br /> State License N ber � <br /> ������ ���Xj� � <br /> Proposed Use of Building Contad Pe (Plan Review) <br /> --�' �ri� � � ,� , . _ <br /> , <br /> Description o/iyyork lo Be Done: <br /> ,���i.i/.1 ��/��/y�-7 i <br /> —� <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hersby certily thet 1 heve reed end exemined this epplicetion end know fhe seme to be true end E� � i a �,a <br /> corred All pmvisions of laws end ordmences goveminq this type oI work wilf ba complefed <br /> wbether spealied herein or noL Jho grentinp oI e permd does nof�resuma to give euthonty fo <br /> violefe or cencei theWo visions ol eny ofharsfefe or locel!ew regulefing cnnsfrudion or fhe <br /> pedomienceolco trudion. TbellemaufhonzedbytheowneroltAis propertyfopedormfhe <br /> work lor which ep iceti is made end 1 comply wifh the Sfefe Confredors Lew 18.27 RCW end <br /> 296200 WAC. � � <br /> � � <br /> rotum ate <br />
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