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4918 BLACK FOREST LN 2016-01-01 MF Import
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4918 BLACK FOREST LN 2016-01-01 MF Import
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Last modified
1/30/2017 7:19:06 AM
Creation date
1/30/2017 7:18:50 AM
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Address Document
Street Name
BLACK FOREST LN
Street Number
4918
Imported From Microfiche
Yes
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� � <br /> cirr �' e�Err oa�: //—�— ,%%� <br /> ELECTRICAI W�i.II�IG PERMIT APPLICATION , . FEE: � ,- �%U <br /> . ! � / . <br /> JOB ADORE55 �/ r"I / ,� �/f�c �� /�c��•s � !� Cr i� -c� _ <br /> TENANT �: � �C /YJo�.�c.f <br /> PROPERTY OWNER ���i t ��, /��Qi.I��C� <br /> ELECTRICAL CONTRACTOR � i =�v C. <br /> LICEISE N0. � , /t� = 1 % EXPT.AATZON DATE �1 -,�+ y^-(��9 <br /> AOMIN25TRATOR /�ic `i4-. � /�'J�1��>�i PHONE t�. �1 ;r3 �/ i� 7 <br /> VALUE OF WGRK (do not include taxes) <br /> (Por commerci work <br /> USE OF BUILDIWG ��.,.rS iCK/�� c � — <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 /> Washirn}ton. Applicants with such jobs must show the State-�pproved plans <br /> before a City of Everett pezmit will he issued. <br /> MORK 7`0 BE �01�: _ , <br /> �GQ r�/YI 'l.J l7c,C [(/ /JGL�.1�-L/ .S .(/'ci/C. -!i f' � [7C�`t�Lr <br /> �.—` <br /> .,�rn <br /> SIGNED . � � DATE �"/ - �Sf—GZ� <br /> NOTES APD COMMENTS: <br /> � <br /> 6/10/87 I <br /> 1928H <br /> � <br />
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