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5028 DOVER ST 2016-01-01 MF Import
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5028 DOVER ST 2016-01-01 MF Import
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Last modified
5/8/2017 2:38:01 PM
Creation date
2/12/2017 3:46:35 AM
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Template:
Address Document
Street Name
DOVER ST
Street Number
5028
Imported From Microfiche
Yes
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� <br />CITY OF EVERETT <br />ELECiRICAL WIRING P�2MIT APPLICP.TIQN <br />JOB ADDRESS <br />DATE• 6�` � � � <br />��� /_ <br />FEE: <br />S �� � ����P� <br />` :'^ObL,%1— � /Zle <br />PROPERTY OWNER C9 a'Y" �Ce'�"�� <br />ELECTRICAL CON'IRACTOR <br />! ,. '��7'G i `� �!( 'PG C c� <br />LICENSE N0. �N �L�-� Y�2. 2-Z EXPIRATION DATE <br />ADMINISTRATOR L G o`/ ��� p, PHONE N0. <br />S �l-� <br />33y-a-93`� <br />VALUE OF WORK (do not include taxes) <br />(for commercia work _1 <br />USE OF BUILDING <br />Iv+� �9 r t/ <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <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 />before a City of Everett permit will be issued. <br />WORK 1'0 BE DONE: <br />SIGNED : �I� <br />�� DATE � � � � �/ ! <br />NOTES A�ID C�MMEFJTS: <br />6/10/8'� <br />1928H <br />
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