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5004 DOVER ST 2016-01-01 MF Import
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5004 DOVER ST 2016-01-01 MF Import
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Last modified
5/8/2017 1:17:49 PM
Creation date
2/12/2017 3:45:01 AM
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Template:
Address Document
Street Name
DOVER ST
Street Number
5004
Imported From Microfiche
Yes
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f � �. <br />CITY OF EVERETT DATE• I� I�o ��' % <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: <br />JOB ADDRESS i,�U O Lf cD n U c�' - <br />TENANT <br />PROPERTY OWNER S" �� V� Y� cr �' �o v�/ <br />ELECTRICAL CONTRACTOR �(�t r o✓� n /` /� <br />LICENSE N0. A ��� or e I� � f- i�f �� EXPIRATION DATE �/T %/_ ���_ <br />ADMINISTRATOR ���j�' ��_��--�� �NE N0. '7 �-;3 - � 3 7 � <br />VALUE OF WORK ido not include taxes) <br />(for cortunercia work <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educaiional. <br />- _ institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jotis must show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />n oi /-t nu S' v <br />SIGNED �J'� T /���<� � �-' < �' �� DATE I o - <br />NOTES ArD COMMENTS: <br />6/1�'/87 <br />1928H <br />
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