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4906 BLACK FOREST LN 2016-01-01 MF Import
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4906 BLACK FOREST LN 2016-01-01 MF Import
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Last modified
1/30/2017 7:14:52 AM
Creation date
1/30/2017 7:14:31 AM
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Address Document
Street Name
BLACK FOREST LN
Street Number
4906
Imported From Microfiche
Yes
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CITY OF EVERETT � DATE: G/.1 '��'9' <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> � �oR� Y?'o t ,�/«k ���s�' L�..Q E�o.-�r� <br /> � ��T <br /> �oa�rr owr�t C'o n7'���CK 7�a � /'To�`�Aa ae <br /> ElECTRICAL CONiRACTOR /� � <br /> LICENSE N0. �p�a � /73 /;jw EXPIRATION OATE / O <br /> ADMINI57RAT�t �"Qp� W' CI.Q� PHONE t�. ?78 �f��.� <br /> VALUE OF WORK (do not include taxes) <br /> (far commercia work <br /> USE OF BUILDING � �o�✓Pr �G� <br /> t�TE: WAC 296-46-140 requires that plans for electrical wo:�k at educational, <br /> institutional or heaith 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 OONE: <br /> ��/N��<✓r/` /O�C <br /> SIG(�D : � DATE _ f <br /> NOTES ArD COMMENTS: <br /> ��y -�'o� In�oecr`, on <br /> / <br /> 6/10/87 <br /> 1928H <br />
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