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5626 BEVERLY LN 2016-01-01 MF Import
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5626 BEVERLY LN 2016-01-01 MF Import
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Last modified
5/10/2017 1:04:51 PM
Creation date
1/23/2017 2:02:41 PM
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Template:
Address Document
Street Name
BEVERLY LN
Street Number
5626
Imported From Microfiche
Yes
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CITY OF EVEAETT 1 <br />0.ECTRICAL WIRING P�RMIT APPLICATION <br />JOB AOORESS S� � FS <br />OATE: "2_ � j. _ � 0 P <br />FEE: <br />�6d�/L�'! �-N <br />TENANT /� R S S /� � `( <br />R�OPERTY 0'ANER s �►�^'� � <br />ELECTRICAL CON7RAiTOR G,/ u �(� �1�-D 1= ����� � <br />LICENSE N0. ovpn D�E S 3 8 � F FXPIRATION DATE <br />ADMINISTRATOR �51-1, J..J aa D�4�l�D PHONE N0. 2 5 Z— 1S i��( <br />VALUE OF WORK (do not include tar.es) <br />(Por commercia work <br />USE OF BUILDING S L� - _ ��-S • <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />�l �-.R-V1 C.E Cl•1 /anJ rE v�0 a�A,�. �. <br />SIGNED : <br />NOTES APD <br />6/10/87 <br />1?28H <br />DATE 2// L 1�� 5 <br />
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