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5121 DOVER ST 2016-01-01 MF Import
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5121 DOVER ST 2016-01-01 MF Import
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Last modified
5/8/2017 4:38:37 PM
Creation date
2/12/2017 3:47:37 AM
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Template:
Address Document
Street Name
DOVER ST
Street Number
5121
Imported From Microfiche
Yes
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CITY OF EVERETT <br />ELECTRICAL WIRING PE3tMIT APPLICATION <br />JOB ADDRE55 <br />TENANT <br />%__ � ._ � � <br />DATE. L„ ' � - nJ � <br />,�o <br />� FEE: � -- <br />PROPERTY OWNER / //J7 �G' ctJl�/Z <br />EIECTRICAL CONTRACTOR S�. �� <br />LICENSE N0. <br />ADMINiSiRATCR <br />EXPIRATION DATE <br />PHONE N0, a` g -� %3 6 <br />VALUE OF WORK (do not include taxes) <br />(Por commercia work <br />USE OF BUILDING �S (— �L <br />NOTE: WAC 296-46-140 requires that plans for electrical worF: at educational, <br />institutional cr health care facilities be approved l,y the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett pennit will be issued. <br />WORK TD BE DONE: <br />�%^G iyl�f <br />SIGNED � <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />Gv c.'�/ � � �/ e� ��,(ius L ��Y� �-S � <br />oarE � ,�' ' � g <br />
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