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2109 COLUMBIA AVE 2016-01-01 MF Import
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2109 COLUMBIA AVE 2016-01-01 MF Import
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Last modified
2/11/2017 10:38:38 PM
Creation date
2/11/2017 10:38:35 PM
Metadata
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Template:
Address Document
Street Name
COLUMBIA AVE
Street Number
2109
Imported From Microfiche
Yes
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DEC-09-^<005 16�57 360 652 5491 P.02�02 <br /> HUu-u�-U4 11UP1 U4;b1_Yf7�t�tKtll YCK�I l JtKV1l:tJ tH1S nV, j�.�o G51 tltl�l �. U! <br /> EL.ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT pERMIT SERVICES <br /> � 3200 GEDAR STREE7, EVEFETf, WA 98201 I <br /> 425-257•8870 - FAX425•257-8857-wnrw.everetMz.org � <br /> _ APf'LICA7IUNS Af2E.4CCEP7ED FROM E AM TO 4 FM -DEBI7 8 CREDIT CARDS AFtE NOT ACCEpTEp <br /> ` -- .._._ ~I <br /> ��°5 _C�?/u�-6� a. ��- � <br /> PRqJECT:,nnr.ess ' �'- <br /> �C� �� ��st� �X3y�3� � <br /> C10.'D�`f _. ._ �_...'"-. ' - ._ � <br /> MnlihCrecs� Gq :tair✓z� - <br /> �, ._._..__._. a1 p _____ r-mi,c J <br /> �? �L�6�a a�� �� l�- � <br /> Tcmtrt� NallqrfJre„ — .---. <br /> e�ry :tate7o � alwno <br /> lU��tlu�w��i��P�"�'�w <br /> _ .. � Sx�/c � /6!( 1`I�sTNE � <br /> ci,�,:m�•�i r,o�i�,r.i�o� M;.iIl100r¢ae '—�---���.�- f Le.�Wh��.3 <br /> �'�1' s:ar.rsW <br /> Fccnc <br /> �a�'t,'� UU/C. 2� �7-7-5 3/- �-/'333 <br /> :'a4i Uri�Rn Numli,ir '__._.�...._.�.-��-_._ ------__ I <br /> ContrsC,Price of Work y���D �� <br /> _/_�}��i%-�` S��-��� <br /> I+lC.pn.".�!d Usp pl lillildlro] ---------�—_ _ � <br /> Gant�ctPcrson (�IonReview) � <br /> . T�1+... %-�3L��7a S-L I <br /> r)�.•u.ip�ron or w�nh!p Ue�a�9e: _ �/(/ iJ�( `_� �-./k,ti.r-�� I <br /> ----..._._._�__...._,..�. J . ; <br /> Nu•i�: ��nR1N3 IN NCi ..—._ ..._.._ ^ _—_. I <br /> t's� IN R�CEW�YS MEC OR�ACICADLgUInED TO fEE � <br /> Ci�YOPF.VChF'ff1.00ALSA4E5TAXC0UE1571pj I J I <br /> 1 r.m,�1,y tr fi(y tA.v!!havu re:,�o onp uxBm�ned fhi3� liCDfloll and know the sartlF to De tru� and <br /> crrmr.G P�I��ovis�nn.a Mlawd,ind orAihanms pov�n�Q(pls rype ol i�k wifl0o complated <br /> n•n�Fhiy:rporl�utl RCMin cvnn(, T11N ron�/r•g o1 a ponnd does not rosuma(o plve autnodry}p I <br /> ����l�r,�vr c.nanl�ho r�vrslan�of,�n�orha st�n orlocal fow rc u�Lnpp consrmnion or me <br /> �-�4�j'c�ii F�:n°op��e�n,i s'rn do nnu��roiaa w IhiAc Sfof i Conlf rcfoisALow i9 2 RCW and <br /> ::i0.3C0 WA�:. <br /> ___. :;;��F `-;,�-J!�'"a`.i..�_ , O,s/ . <br /> • � . Datc ----- <br /> ..__.._.. ..._ . _._.._..._ [051� - 055 TOTRL P.02 <br />
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