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4922 BLACK FOREST LN 2016-01-01 MF Import
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4922 BLACK FOREST LN 2016-01-01 MF Import
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Last modified
1/30/2017 7:19:48 AM
Creation date
1/30/2017 7:19:34 AM
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Address Document
Street Name
BLACK FOREST LN
Street Number
4922
Imported From Microfiche
Yes
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,�,,, ,a.�. <br /> cmr aF e�xErr oare: � - 3� - L � � <br /> , a� <br /> ELECTRICAL WgtING PERMIT APPLICATION . . FEE: � S, <br /> �as aooaEss �f 9 Z Z .(��/c �a w�.fT ��9-�i= <br /> �uaNr <br /> Fl�a�rr owr�x /t — 0�v� - <br /> ELECTRICAL C�NIRAC'roR �2� �� �C�C � <br /> �TcEvst �va. ,y�6/.v',��17 9'Cf= E(PIFtATI�N DATE 2— ZS� `'l/ <br /> ao,�nvisTaaroa �,�iri.�,li� /k� C�/��G'PHONE N0. ZS Z��BYI <br /> VALUE OF WORK ^ (do not include taxes) <br /> (Por commerci work <br /> USc OF BUILDING ��� <br /> ►�TE: WAC 296-46-140 requires that plans for electrical wor4c at educational, <br /> institutional ur health care facilities be approved by the State aP <br /> Washirigton. Applicants with such jobs muss show the State-approved plans <br /> hePore a City of Everett pe:mit will be issued. , <br /> WORK 70 BE DONE: ' • <br /> �.vi�-c��- �ur��✓ C't'/Z <br /> sic,rvEo : '° — ' oa� �rs d -cI9 <br /> r�rEs ar� coMMeirs: . . <br /> 6/10/87 <br /> 1928H <br />
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