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5102 ELM ST 2016-01-01 MF Import
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5102 ELM ST 2016-01-01 MF Import
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Last modified
2/12/2017 7:41:39 AM
Creation date
2/12/2017 7:41:32 AM
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Template:
Address Document
Street Name
ELM ST
Street Number
5102
Imported From Microfiche
Yes
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� <br /> �. <br /> CITY OF EVERETT DATE: 8 /�J�/O � <br /> ELECTRICAL WIRING PERMIT APPLICATION i � FEE: <br /> JCB ADORESS �_�%�� � �/j' �S�t <br /> TENANT <br /> �,� �/ � � �� � / <br /> FROPERTY OWNER %- � �, r-,� r/ ��Cc%.l�(!' ✓.���'ls-�'!� <br /> ELECTRICAL CON1FtACTOR ���L�Zz.� �SZ �-;�rf� <br /> LICENSE N0. — EXPIRATION DATE — <br /> ADMINISTRATOR � PHONE N0, <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> �, <br /> USE OF BUILDING r.��n� ,�>7zC<,i' <br /> O � <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 TO BE DONE: <br /> pl ; <br /> i2C --G-c2�iC �.��c:. c"/ �i..-- ot�c° .G'�tG ai'1=rtn.i /�i v �'O(J�� <br /> ,G7L�/� �j�� .� � �� . <br /> L� �l/l.uG ✓'.4t>z� -��.c' ' >firrs.!%l ,G.• ,. o�:-.�Gt�,��/ ��1C�z- � � �/�iy <br /> / �� C� j� �� <br /> / i / � ��n �/� / <br /> .���C/� � t �>��JJz�' �.c�dlGi�/�,'= C9N �i77/L' .G�2�/!if-i >•.i �. �fn - /�(�f�J2L'/�✓-' <br /> �v.r�Cd�r �/i9) -f /��('�il��bv <br /> SIGNED : � � � DATE !S� ✓��� <br /> -� i <br /> NOTES AND COMMENTS: �% � <br /> 6/10/87 <br /> 1928H <br />
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