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4934 BLACK FOREST LN 2016-01-01 MF Import
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4934 BLACK FOREST LN 2016-01-01 MF Import
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Last modified
1/30/2017 7:23:32 AM
Creation date
1/30/2017 7:23:16 AM
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Address Document
Street Name
BLACK FOREST LN
Street Number
4934
Imported From Microfiche
Yes
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CITY OF EVERETT •-` DATE: CC�� � � / <br /> ELE�TRICAL WIRING PERMIT APPLSCATION �E� <br /> `�93�( <br /> � �oR� � gL� ��F�r �� <br /> 7ErlAP,T ...�Ov2 ti 7Gc..-e �'o,.. 1 i, (.c . <br /> PROPERTY OWNER � <br /> ELECTRICAL CONIF2ACTOR �--{�ir ..+1 n <br /> _T.� <br /> LICENSE N0. /T�'JNP�I L/L �7N �/ E��ATION DATE ��I <br /> ADMINISiRAT�t �� �i . /-l/frr�...�.�_ PHONE N0. �(� �^ � s Z/ <br /> VALUE OF WORK �077?�. "`—' (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING ��^"-- <br /> �TE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutio�al or health 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 pezmit will be issued. <br /> WORK TO BE DONE: <br /> a �-, s -,��. <br /> ��,- <br /> SIGNED : ------Ci�E����'-"�� DATE � ��� ��� <br /> NOTES MA COMMEIJTS: <br /> 6/10/87 <br /> 1928N <br />
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