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5133 DOVER ST 2016-01-01 MF Import
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5133 DOVER ST 2016-01-01 MF Import
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Last modified
5/8/2017 5:20:03 PM
Creation date
2/12/2017 3:48:25 AM
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Template:
Address Document
Street Name
DOVER ST
Street Number
5133
Imported From Microfiche
Yes
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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JGB ADORE55 <br />TENFNT <br />FROP�TY OWNER <br />�� <br />� <br />ou*F; (_%G��1 .�o /5'� `7 <br />FEE: ��� <br />ELECTRICA� CONIRACTOR /✓(/'�Zt� <br />LICENSE N0. <br />EXPIRA?ION DATc <br />AOMINISTRATOR FHONE N0. %�y'���.� <br />VALUE OF WORK (do not include taxes) <br />(for commercia work � <br />.. •- _ n <br />USE OF BUILOING <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be appcoved by the State of <br />Washington. Applicants with such jobs must sho�.v `.he State-app.roved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNED : �Cy������'vcGG�iZ!?�% DATE ��!— .��> 'rr� % <br />PlOTES AND C0�4MENT5: <br />6/10/87 <br />192°H <br />
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