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5209 EVERGREEN WAY DEPT OF LICENSING 2016-01-01 MF Import
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5209 EVERGREEN WAY DEPT OF LICENSING 2016-01-01 MF Import
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Last modified
2/9/2017 7:49:37 PM
Creation date
2/9/2017 7:49:25 PM
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
5209
Tenant Name
DEPT OF LICENSING
Imported From Microfiche
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� � <br /> � �'tl <br /> �o �x <br /> � HfH/� <br /> � CITY OF EVERETT ' , D11TE I �z''�,,,, /� � <br /> K y � _____76 <br /> '� yH FEE 3U � <br /> ELECTILLC�L hIItI�IG PG[tl-0IT nPFLICATIOM <br /> x <br /> H <br /> o � d �oe nn�nsss � ' J �e �'�� <br /> N�' g Ter�nta�r (�^Y'�OC I_l C�S II��C - <br /> � y� , . <br /> PROPERTY OWPIER <br /> NH • <br /> g y F..� ELECTRICIW CONTIt1�CTOR �A II'1 IF'� Fl x. L"�YL�G ��� ' <br /> oty� <br /> � t� � CONTRACTO[i'S nDD[tESS PO 6n?c 9 7 7G-3 �J Eft'f51-F (n+�- �'I S�I Z5-Z7�-� <br /> y Cl'CY 2IP <br /> HOy �n <br /> � LIC6NSE NO. Y� ��I E � �4 �O P C%L�EItATION UATE � • I� � <br /> ADMINISTIt11TOR OC'IT�I�_��i�-r PIIOldGNO. � Z�EJ� �2�!' �0�� <br /> �� ��� VALUE OF WORK �� G VU � (�o not include taxes) <br /> I �� (for commerical woxk).. <br /> USE OF DUILDING l7{ �t L�C�'ns nC� <br /> i • <br /> � I ,_� •NOTE: WnC 296-46-140 xequires thal plan� for elecL•rical wor� al• e�ucat ona , <br /> '7� institutional or iiealtl� caxe facilities be approved Uy tlie StaCe of Washington. <br /> 7�pplicants with such jobs musC show the Sl•ate approved plans before a City <br /> � . of Everett pezmit will be issued. <br /> ��� <br /> � � NOTF.: Wiring in non dwelJ.ingc !s required to be in conc]uit. <br /> WpfllC R'O DE COtlE: <br /> _,�i • T"£nAr�� lmQ2�Ue,rn�'�" , <br /> � KIS� IYI� �f-�2v �C� �i'IU ciP,L' v1CC WO��— <br /> ��: <br /> sxcNco: °nT�' --"=t� <br /> ��— . <br /> . <br /> _,�_.--•---..*.r:.......,_................. .,.,._...,. ...,.,. ,��.:: <br /> . .. .._"_.._...__.....�.....""_'_. r_ _. .4... ..._ S .... 1t:7'Tr']:l`.'S �. <br />
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