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5412 BROADWAY 2016-01-01 MF Import
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5412 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 8:59:31 AM
Creation date
1/24/2017 8:59:12 AM
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Address Document
Street Name
BROADWAY
Street Number
5412
Imported From Microfiche
Yes
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aaio3/�oiz Tue ii: ie rax 00o��ooz <br /> O1/13/2010 to'06 FAR 425 257 �,�7 EVEkETT PEP.IdIT SEkUICES �001/001 <br /> �� <br /> ELECTRICAL F'ERMIT APPLICAT'ION <br /> CITY OF EVERETT F`ERMI7 SERVICES <br /> 3200 C[DAR S7REET, F_V6RETT,WA 98201 <br /> A25-257-8a10 - FAX 425-257-AB57—�w,�v.everethva.org <br /> APPUCATIONS ARE ACCEPTEp FFtOM 8 AM TO 4 PM <br /> 5�2 Y�V�O� � �U�JI�, WI� °��b3 <br /> PROJECT ADDRESS <br /> �,�v�'C ��.���p�0`(��S i�iiu iO3rd�PINC�� ��it� -�-ai�s,wr�a z <br /> �a-1z�-�s <br /> Tanaitl tdaBACdresa Gty Stalu2ip Phone �, <br /> � I�l 1 S 9 nd s-t • M0115'1� '�1QaMun V�°I��13��-� <br /> Electricai Contraclor Mail Addreu a�y Sio�e2W phone <br /> �- Rl1�CC-3� _�200 <br /> Steln Lic�n501Jumbcr Contrect Pnce of Work <br /> � �IP, <br /> Proposed�a of ullding Conlact Pet6on (Plan I�aview) <br /> Description oi Work l0 6e Dono: � O _�� 1 1V�a��-V y�,/,�/`1`v � � <br /> � i` ` �'""'—_-�..�_ <br /> NOTE: W IRlNG IN NON-DW ELIINOS IS REQUIRED 70 �EE <br /> B�IN F2ACEWAYS, MC OR AC CABLE, <br /> ���� <br /> � <br /> CITY OF EVCREIT LOCAL SAL[S TAX GUDt f5 5105 <br /> f here6y ced/ty fhaf I he��e road and exomined fhis applica0on endYn^vw thg�Sama fo bo frue anC C I z O�,�Q l � <br /> cortecL A(I pruvislons ol/aws an�ordlnances govomfng this fypa o!work r.i I be comp/eted C l <br /> whotltor specflied herein or r,ct. �hv 9�anhng ol a permit does nof resume ro pfvo aufhorily io <br /> oio�atoorcanccl�ha provisionso9�onyotherstateonoceilnwreguPtingpwnstrucf/on the <br /> �vAc�!rawhfc epp4'cet oncls ehde end I comply N�h fhe S(efa Conf r�'e�cfos L�18.p27 R�CW and <br /> <^96.2tl0 IVAC. <br /> - - V� � �� � I Z .. <br /> ynaNre at <br />
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