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C: Y OF EVERETT <br /> LLECTRICAL PERMIT SERVICE� <br /> PERMIT 3zooc�.i�nit�rarr:r rvi:ai:rr.�+�n ��s�oi <br /> �.�zs�zs�-ssio <br /> Inspcction I.inc (�1?5)257-riR31 <br /> Pf?RMIT NUMI3GR: E11U5-069 �'��� ��13i201I <br /> ionnunRr:ss 1700 13TI1 ST ^�'y 004 3 8 524 70 1 10 1 <br /> owNllR USIiOPBUILUIN(i I'IOSPII�AL. <br /> PROVIDL•NCIi-GIiN MCD G:NTGR <br /> P0 60X 1067 T�.n^�� <br /> 1:1'ICIi[N <br /> GVIiRf I"1' NA 98206-1067 <br /> riio�r d35?G145>G <br /> rnoni, <br /> UIiSCRII''fION Of WOltl: COM'HAC70R. <br /> \1'IRIi \1AIN F:I'I'CI IF:N�Il -I.IiVlil.13-I VECA I:I,I:CI'RIC <br /> SGid 71'I I A\'1:S <br /> LBV13L13-I OPNIS\VIIOSPI'I'AL�fO\VI[R. ti��.A"1"I'I.1: �t'A 9R10� <br /> 30Gd365200 <br /> nn�reance covren�:rrrsiceor�cuic� 5241;233.00 <br /> ,\'OTE: IYiring in na�e•drvcllings is required Ir. be in rncerrm's, J1C nrifC cn61u d!alcl.dhnlcls mid jncilifics li.sted in Tnh(rs 1 & ? <br /> (IY�IC?9(-4(-155)nre nnn-r6relling.�'. .. <br /> PGR�91'I'S IISPIRI'. IP A1'OItI:NOTCO�1�11iNC1;D AA'I1lIIN 130 UAl'S OR CIiASI�.ti NORIi"IIIAV 180 UAYS . <br /> FF.I?5 <br /> 07 Cumnurci;J I3cclncal S'_'.G4G.16 <br /> 'Ib�:ll Fecs 5'-.4al.16 <br /> Totnl Pces Paid SOAU <br /> 'fat�l I�ecs Duc 52.Gab.i6 <br /> City of li��creu Lucil <br /> Salr.;'f;i�Cudc is 3105 <br /> KIf�1nH4:S <br /> pE1t1117'NO. <br /> f 11 U5-069 <br /> :\DDIt4:SS Pll.li COPY <br />