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222 BROOKRIDGE BLVD 2016-01-01 MF Import
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222 BROOKRIDGE BLVD 2016-01-01 MF Import
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Last modified
4/27/2017 3:57:55 PM
Creation date
1/24/2017 11:00:22 AM
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Template:
Address Document
Street Name
BROOKRIDGE BLVD
Street Number
222
Imported From Microfiche
Yes
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,o � � <br />Ir�a,{+ . �'. <br />:' f.,'3(�G, i':•u �.:, .. . <br />CITY OF EVERETT ,y ;� <br />t <br />ELECTRICAL WIRINC PERMIT APPLICATION <br />1� <br />OATE <br />FEE �C ��— <br />r�e <br />.70B ADDRE55 A O� �/� r...+v �-� v� -- <br />TENANT �y``� 33 — <br />PRAPEATY OWNER__ l]IOf'th C�S� �2✓ <br />ELECTRICAL CONTRACTOR � ri' � f I•• � N� C <br />CONTPACTOA'S ADDRESS <br />2IP <br />LICENSE N0. nt�?f la ��ZQ�(O�l EXPIRATION DATE' <br />ADMINISTRATOA YYi�S O,Q \�I�NL�1_V PHONE N0. ��^Sd�2-- <br />VAI.UE OF WORK (do not include taxesl <br />(for commarical work) � <br />USE OF BUILDING � � <br />NOTE: t4AC 296-46-140 zequires that plans :or eleetrical work at educational, <br />institutional or health care facilities be approved by tha State of Washington. <br />Applicants with such jobs must show the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellinqs is required to be in conduit. <br />WORK TO BE DONE: <br />� <br />SIGNEDz �\ 1� '��y� �i �4� <br />3/27/90 <br />DATE : I dI / SI`7 O <br />
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