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( C� :Y OF EVERETT <br /> ELECTRICAL pERMIT SERVICES <br /> PERMIT szoocronksnzei>r evrkerr.wn ��szoi <br /> �azs)zs�-ssin <br /> Inspectiun Linc:(425)257-8881 <br /> PERMIT NUMBF.R: F.1203-158 �^T� 3/29/2012 <br /> ioianuoeiss: �ggUO 19TH AVF,SE nrN: 23053000407200 <br /> o�vNrN os�soFuui�u�Nc. MBDICALCLINIC <br /> PROVIDENCL' 1IGALTIi CARL'CTR <br /> 12800 19TIi AVG SG TIiNANC <br /> 6VERG7"1' WA 98208-G642 <br /> ruoNr: <br /> PIIONG. <br /> UGSCRII'�104Of WOHl:: CONIHnCTOR: <br /> VOICIi&DA'PA=1'lIR0UG110U"I'BUII.DING pACIPIC COMMUNICA"I�ION CABI.ING <br /> IOG041i RIVI:RSIUIi DR <br /> 1301'IiELI, 14A 98011 <br /> 425-0835957 <br /> nnu�r:ance mNncncrreiceorwos� SI��0.00 <br /> NOTE: 11'irixg!n unn-dwellingx is re�p�ired!n Ge in rncen�rq�s, AfC nrAC cahla. Afn(eldhnlels rrnd jncililies lisled in Tnhles 1& 2 <br /> (IVi1C196-4h-1.S5J nre nnn-�Ix�efli�igs. <br /> PIiRMI'1'S GXPIRG II'N'OILK NOT CO�1��IIiNC1iD\1'I'fI11N I RO DAYS OR CIiASftS b10R1:"1'I IAN I80 De1YS. <br /> r•ees <br /> u�i.v����«S Sso.00 <br /> 'Ibtnl Fcrs 550.011 . <br /> 7'utal Fces Paid SOAII <br /> 7'olal Fecs Duc SSO.UO <br /> Citv of Gvcrctt I_ucal <br /> Snlcs"1'a�Codc is 3105. <br /> iii ntnic�:s <br /> pER,\11T 10. <br /> F.1203-158 <br /> :1UURIiSS 19LG Col'1' <br />