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15 SW EVERETT MALL WAY MOLINA HEALTH CARE 2016-01-01 MF Import
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15 SW EVERETT MALL WAY MOLINA HEALTH CARE 2016-01-01 MF Import
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Last modified
4/11/2017 9:06:36 PM
Creation date
2/10/2017 2:12:22 AM
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Address Document
Street Name
SW EVERETT MALL WAY
Street Number
15
Tenant Name
MOLINA HEALTH CARE
Imported From Microfiche
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ELECTRICAL, PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-E810 - FAX 425-257-8857 — www.evere!twa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />l� S 1�� �v�ve � MC� l� l��C� <br />PROJECT ADDRESS <br />I/'�5 /0�/ <br />�/�/� `�1 <br />/l/ID�i�7/,� !%��l��iC�l'B �J'�m� �S �1 ave <br />Owner Mail Address Cily StatelZip Phone <br />Tenanl Mail Address City SlatelZip Phone <br />yZy � <br />�DIY"�1'G'diN Si�� li°2`� 1✓G/�hG're��✓fll�!✓�/�3 �v7Y,eli,l�'.,�9doi/ �i�y�5 <br />Electrical <br />Mail Address <br />/�vl�✓�r 7 � vo� � H <br />State License Number <br />l�D�i/7Cti �Cc�'�'1�C�2il�e �/�G2 <br />Proaosed Use o( Building <br />Ci�y <br />StalelZip Phone <br />� 7, vc�• c�U <br />CoNract Price of Work <br />C J ,S�Gtl�FOYG� <br />Conlacl Person (Plan Review) <br />Descriplion o( Work lo Be Done: �� /�� ��CL��(Y7 O� G�iG`{ft�����/GG OC�`C/�! <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 here6y certily Ihal I have read and examined fhis applicafion and know the same fo be true and <br />conecL All p�avisions o(laws and ordinances govermng (his lype o/�vork will be complefed <br />whether spealied herein or not The granfing ol a pernut does not presume to give aulhonty (o <br />violafe or cancel the provisions o(t+ny ofher stafe or local la�v regulafing consVucfion or fhe <br />pedormance of construcfion. That I crn authorized by the owner ol fhis propeny (o peAorm Ihe <br />tvork !or which application is rnade and 1 comply �vith fhe State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />I�� ��� <br />1� <br />
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