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4820 GLENHAVEN DR 2016-01-01 MF Import
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4820 GLENHAVEN DR 2016-01-01 MF Import
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Last modified
2/11/2017 4:29:34 PM
Creation date
2/11/2017 4:29:30 PM
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Template:
Address Document
Street Name
GLENHAVEN DR
Street Number
4820
Imported From Microfiche
Yes
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Feb 29 08 09: 37a p� l <br /> I � ' <br /> ; <br /> ELECT �CAL PERMIT AP�LiCAT1ON <br /> CI �TY O �EVERETT PERMIT SER ICES <br /> 3200 �EDAR STREE7, EVERE'I�', `NA 98 01 � <br /> 425�257-t3 0 - FAX 425-257-Sb57—www�ver riwa.org <br /> 11PPl.IC �IONS ARE ACC6P7ED FROM 8� T 4 PM � <br /> I <br /> �Q � �/ F/ � v/✓ �� ?� <br /> PROJEC7 ADDRESS • a S� <br /> L � V `!6 Za G � 9 �c Z[`'S�` <br /> O�+mer . �allAddro � Clry � ' � State2lp � Pnone <br /> 7enan! q���I Adtlrc # � City - Sbte2lp ^ f ��hone� <br /> L� .�i S. <br /> i � �. � y Z�G i <br /> EleCtriCalContraotor . MellAddre � - Gry � �Smts/ZID Phone <br /> 6��'�N iv S.r/ C.� � <br /> State License Number i C nVact Pdce of Work . <br /> E <br /> � f <br /> Proposbd Use of Buildin9 � ntact Pefson (Plan Review) <br /> DescripGon of Work to Ba Dono: � Al / A <br /> I <br /> I <br /> NOTE: WIRING IN NON-DWELGNGS I �E�UIRED TO � FEE <br /> BE IN RACEWAYS, MC �R AC ABLE. , � <br /> � � <br /> GITY OF EVERE77 LOCAL SALESITAX CO E IS 3105 . <br /> 1 hereby ceRily thef f heve read and Oxomina �ihfs appllcet)on end know tha seme to b true and <br /> ColroCt. AH pr�pVfslons ollow5 ortd 0�ylnance poveming this fype of work w!!I be comp eiBd� �[p�0'Z- I l+'Z <br /> whofhorSpoclllod hereln ornoL 7hd grantln d/a perm�t does not Aresume to 91ve au w9 fu <br /> v(olnfe ar cnnce!ihe provlsions of 8ny ofher te ofloCal law reyuleUny con5lnfcUon o fhe � • <br /> peRormance ol const�uctlon. That 1 am euth d by fhe ownerofthlsp roper(y to pe rm t e . <br /> work for w01ch apAl/cat/on Is meda end I com ly w/fh Ihe SYata CcnVectors Lew 18.27 CW nd <br /> 296.200 WAC. 1 <br /> J <br /> � � � � � <br /> Sianewre +ro <br /> � <br /> ! <br /> � <br /> � � <br /> _ _----.. ..._.—..—....... .. ... ..---- �-- . ... ... .-.—I— -•—• -_ _ -- - --... . _. <br />
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