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4930 BLACK FOREST LN 2016-01-01 MF Import
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4930 BLACK FOREST LN 2016-01-01 MF Import
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Last modified
1/30/2017 7:22:40 AM
Creation date
1/30/2017 7:22:15 AM
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Address Document
Street Name
BLACK FOREST LN
Street Number
4930
Imported From Microfiche
Yes
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N�_� <br /> � <br /> �, <br /> t <br /> , <br /> h <br /> �n��'y1 V <br /> 4Vy y . .....*.... <br /> A�N . . � . � . . .. .:� S I <br /> E � I <br /> H � <br /> "��� CITY OF EVERETT � DATE: 'l'�' � <br /> �'�" _ �� i <br /> � � � � I <br /> "��� ELECTRICAL WIRING PEF2MIT APPLICATION FEE: �'"'�s' ' ; I <br /> ��p� $ <br /> H C � r w�� ��� ��.` � <br /> ��8 �e aooREss �9 30 �l/�e� Tyo,�� �.v.� ����` <br /> . <br /> �f� /l �� ,/ //�� Lrl �� <br /> �y�� TENANT /'r!/�C/v� '^.' -�L. WJfi// / �I . <i'� r.�S,.4k'v..� <br /> r�H FROPERTY OWNER �}�y..__t__ ' <br /> g b�0 ELECIRICAL CONTRACTOR /�/�'!Z� �G crGf��G ' <br /> � <br /> y yo� LICEPISE t�. /�i�.n,Ke�c !79 �/�, EXPIRATION DATE ���o - �� ' <br /> ADMINISTRATOR ��/C n�>yry�-2/L PHONE N0. 5 6 P-�S Z/ <br /> VALUE OF WORK �.[/�`su�0,� /� 7 (do not include taxes) <br /> �for commercia�kY ' <br /> USE OF BUILDING �� , � <br /> � <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 'I <br /> Washington. Applicants with such jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> i. � WORK TO BE DONE: <br /> j C�. <br /> ,, , <br /> , <br /> I -- <br /> � __ <br /> ' ' �� SIGNED : �.�.-.— DATE ��?J -° / <br /> s � NOTES ArD COMMENTS• <br /> +�� <br /> 6/10/87 <br /> y <br /> 1928H <br /> .� <br /> iX";:: <br />
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