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5122 DOVER ST 2016-01-01 MF Import
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5122 DOVER ST 2016-01-01 MF Import
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Last modified
5/8/2017 4:43:33 PM
Creation date
2/12/2017 3:47:50 AM
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Template:
Address Document
Street Name
DOVER ST
Street Number
5122
Imported From Microfiche
Yes
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� <br />CITSt OF EVFFiE1T <br />�w <br />, � <br />II�X..'PRICAL WIRING PERhII'P APPLICATION FEF, 07�. O� <br />JOB ADDRESS __S�o? o� ;�o c/ PiC.' lT 7 <br />TEd�IANP <br />..,�.. .� • i�• . <br />: • <br />M7iI�3.y��Y: •��/Y:aN1�: <br />�� •' •��•/ <br />r�c�ss �vo. A1� � �NE y79c� s�r.x�i� nr,...� a? -,� �- q/ <br />A[lrffNlS�'RA'lOR ff'��/Fv /YIG !9 /iJ �! PHO[�; N0. v� 5�.,l- ��� % <br />VALUE OF WORK (do not include taxes) <br />(for canmrcial work) . <br />LSE OF BUiLDING �p /,Q P� f/N C <br />NOTE: {�1C 296-46•-140 rnc��ires that plans for electrical work at educatiaial, <br />inetitutional or health cai.�e facilities be approved by the State of <br />Washinqtnn. Applicants with such jobs m�st show the State aapro�ved <br />plans before a City of Everett pei�nit will be issued. <br />Np1E: T+lirinq in non ckvell.ings is r�+,i*+�d tn be in conduit. <br />4JDIZK 7n BE DONE: <br />ti <br />SIG!�IED: '�/���!� -�.L I]A..'�'E � J �' <br />12/15/69 <br />
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