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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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Template:
Address Document
Street Name
BLACK FOREST LN
Street Number
4930
Imported From Microfiche
Yes
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��� -�� <br /> ��� CITY OF EVERETT ,� DATE: �" Z � � / � <br /> ��� �ECTRICAL WIRING PERhIIT APPLICATION �E: <br /> � <br /> ��� <br /> ��� �oe aDORess — �f y 3 � /�L�ce= O,c�r s� � E- i <br /> o�+ TENANT /'r.4!/�I�TC4�� C o NS% � a <br /> ��g <br /> zp� �g �aP�Tr owr� S„�_ <br /> .+ , / <br /> �M� E1.ECiRICAL CON7RACTOR y'iQ�j M L.�L L'rL(1G j� <br /> gd� LICE�lSE N0. NA M✓N£l2 1� 9 6i�9 EXPIRATION DATE �- Z y�� <br /> ��� ADMIN257RATL]R �CK f7IlrnHt[� PNANE N0. �) �S-If��I ' <br /> H O w VALUE OF WORK <br /> �i�V • (do not include taYes) <br /> (for commerciaz wor;c <br /> USE OF BUILDING (�C.Q S'/p_Q,hC,e ' <br /> MOTE: WAC 296-46-140 requires that plans for electriczl work at educational, + <br /> institutional or health care facilities be zpproved by the .State oP <br /> Washington. Applicants with such jobs must show the Stete-�proved plans <br /> before a City of Everett permit will be issued. <br /> -. WORK TO BE DONE: <br /> �C�� � A� <br /> � �� <br /> ' 2��. <br /> i __ <br /> __ <br /> SIGNED : DATE �-ZSl�'�_ <br /> � ' � <br /> � I � NOTES A� COMMENTS: <br /> II . <br /> �� <br /> 6/10/87 <br /> 1528H <br />
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