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4933 EVERGREEN WAY 2016-01-01 MF Import
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4933 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
3/6/2017 1:43:09 PM
Creation date
2/9/2017 6:36:57 PM
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
4933
Imported From Microfiche
Yes
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CITY OF E`J1�2ETT' DATE: � -" — ,�I <br /> � <br /> ELECTRICAL WIRIfJG FERMIT AFFLICATION �E: �P � <br /> i'��3� <br /> �oe aooHEss /,�-� !L I/� >�u Y�-�� �"L��/� <br /> TEt�lANT . . �� .S � L-� L. ; ,�� � �.S— <br /> FflOPE�'fY OWNF3� <br /> ELECTRICAL CONiRACTOR ��G �; Y �' c- .� � 1 � /�C , <br /> LICENSE N0. ,S�'� ��,�-h�� ��f S �o� EXPIRATSON DATE <br /> ADMINIS7RATOR /�(/�S I�Cii��e' (.�a io f"t� FYONE N0. , �� �— 5 %J � <br /> VALUE OF WORK ,� . > (�J(� � OU (do not include taxes) <br /> (for conmercia work) <br /> U5c OF BUILDING �j f' f�, �, ,S fC 1�� <br /> NOTE: WAC 296-46-1A0 requires that plans for electrical wcrk >t educational, <br /> institutional or health care facilities be approved by the .Staie oT <br /> Washington. Aopl�cants with such jobs must show the S�zte-approved plans <br /> before a City of E'vere'tt pernit will be issued. <br /> WORK TO BE OONE: <br /> /l l„i L'G � �'�� � ��i c, r i�-v . �i�s >r.,�-, <br /> SIGNED : �s�i�/_/��j'�<-�u t DA7E � � S 6 � <br /> NOTES AND COMMENTS: <br /> 6/i0/87 <br /> 1928H <br />
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