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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 />CITY OE EVE.ZET: <br />� <br />DAT� if���p�-� �`�'9�'� <br />FT.PCTRIC?S WIc72NG PERMIT AP?LiCaTIOfi FcE � J�(J�j <br />.roB an�tiess .r/ „2 ,� L� n r� � � �� <br />'1'£i1�1' 1/ ��V� �- � V "UG✓,.J . <br />PROPERTY OWNIIt 1L O�h•._ 7 ( n-�fi c.-r S <br />FT.Fcrxx�w cnrrrxAcrox ��� . .; ��. / ��- G ��� � <br />� <br />CANTRACTOR'S ADDRESS .�O /J^ �'S��ll3�K�i ��c�r»�/ %`,�G� <br />. ` • �� ZIP <br />Lic�Nss N0. �%�JC(�1/?//= �7�''T C/� gj{prqpTION DAT_ ,� -o� �-�� <br />ADMINISTRATOR �%/t h�.• //v /�(L�i i j.. PHONE N0. , o� 1 0� �/ :/!n i ' <br />� VALIIE OF WORK � (do not include taxes) <br />(for ccamerical vrork) <br />USE OF BQILDING __� � / [� <br />NOTE: WAC 296-46-140 rem�iTes that plans for elect=ical worlc at educational, <br />i.nstitutional or haalth care facilities 6e acproved by the State of Washington. <br />Apolicants with such jobs mi:st show the State aporoved nlans beio`re a C:ty <br />of Everett permit will be issued. ' <br />NOT:.': Wiring in non dwellings is rewired to be in condui.t. <br />WORK TO BE DONE: <br />. . /L � fi r � i �-, � J �-r - r , i � �-�`_ /��-G cJc� /� o �.-> -c. ,�e e'a-io.f .me�-.� <br />SIG.IED: <br />3/27/90 <br />. <br />DATy: G �.3 ' �7 D <br />
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