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4902 BLACK FOREST LN 2016-01-01 MF Import
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4902 BLACK FOREST LN 2016-01-01 MF Import
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Last modified
1/30/2017 7:13:50 AM
Creation date
1/30/2017 7:13:35 AM
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Address Document
Street Name
BLACK FOREST LN
Street Number
4902
Imported From Microfiche
Yes
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CITY OF EVERETT � DATE: I� <br /> ELECTRICAI WIRING PERMIT APPLICAT.CON FEE: <br /> :;OB AOORE55 _ �p/OZ {�( ,� ���zT LA I, <br /> TENANT ^� � <br /> PROP�TY OWNER �� « <br /> ELECTRICAL CONIRACTOR <br /> LIC��c N0, EXP�ATION DATE <br /> ACMINISTRATOR PHONE N0. L�$2r. � <br /> VA�UE OF WORK (do not include taxes) <br /> (Por commercia wor;c <br /> USE �F BUILDING <br /> f�TE: WAC 296-46-140 requires that plans for elec:rical work at educational, <br /> institutional or health care facilitie;. be approved by the State of <br /> Washirgton. Applicants with such jobs must show the State-approved plans <br /> before a City oi Everett pezmit will be issued. <br /> WORK TO BE OONE: <br /> - I.v�� A�z� l�m,�P,� <br /> i <br /> SIGNED : �Q�11 DATE cQ'�'�, —�s'}� <br /> NOTES ANO COMMENTS: <br /> -- - -- <br /> 6/10/87 <br /> 1928H <br />
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