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10515 EVERGREEN WAY 2016-01-01 MF Import
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10515 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
2/10/2017 9:17:04 AM
Creation date
2/10/2017 9:14:05 AM
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
10515
Imported From Microfiche
Yes
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� � <br /> CITY OF EVFRETT �ATE� _C� - �� � �� _ <br /> ELECTRIf;L WIRING PERMIT APPL7CATION FEE: <br /> JOB ADDRESS �C�S�`J G' L/C'✓c t'C'C� �tJLc.ii .GG�P��� / �SZLy� <br /> TENANT .^i6 a c'_ �( _ �Y IEY �"��i rh U T�l <br /> PROPERTY OWNER cSr'�ti� <br /> ELECTRICAL CON7RACTOR /r('P OC� �/�C _ <br /> LICENSE N0. �y Cc�°iUCS!I �/ 7 Q L _ EXPIRATION DATE <br /> ADMINISTRATOFi ���4. � iCle��� PI-IONE N0. 339-5Ss�.� <br /> VALUE OF WORK (do not include taxes) <br /> (for caronerc±a work <br /> USE OF BUILDING (,�� Llr �e5 <br /> '°'`'�' NuTE; WAC 296-46-140 requires that plans for electrical work at educational, <br /> w,,,., <br /> '�:.`' institutional or health care facilities be approved by the State of <br /> Washington. Applicants with such jobs must show the State-approved plans <br /> t" ; before a City of Everett permit will be issued. <br /> �;'i` , <br /> y- WORK TO BE DONE: / <br /> ,Y, : <br /> �n � �� �� ��a;vt -f-ti�+n L� �ec�l^r"ca ( 5 i4L. <br /> l, <br /> �:.: <br /> �:;`. � <br /> ,' SIGNE� : �Gu-�—�/�� DATE �Z.4 —�� <br /> �TES ArD COMMENTS: <br /> ',; <br /> y. <br /> 6/10/87 <br /> 1928H <br /> �;.:_. _ , . <br /> .�, , <br /> �' <br /> :.e', ' <br /> �,. <br /> ,t. <br /> r�'` <br /> ��+, �. <br /> < : \,,:.;,- <br /> <.. � i,�_..�.. <br />
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