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3215 LOMBARD AVE 2016-01-01 MF Import
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3215 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 7:57:11 PM
Creation date
2/17/2017 7:56:51 PM
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
3215
Imported From Microfiche
Yes
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CITY OF EVERETT �, DATE__-�� <br /> 6 <br /> ELECTRICAL WIRING PERMIT APPt,ICATION FEE <br /> JOB ADDRESS ��I � L �h'1 (7G�?� <br /> TENANT �P<�'I�U// f /"JC l� � t'� -- <br /> PAOPERTY OWNRR �t��17I�P k7`f'/ � vf <br /> ELECTRZCAL CONTRACTOR �� SYLfl/� — <br /> CONTRIICTOR'S ADDRESS ' I ���+'.S� �V� �/` SAn �to✓rrir�n 9�o2Q/'/ <br /> CITY ZIP <br /> � <br /> LICENSE NO. EXPTRATION D�TE � <br /> ADMINiSTRATOR PHONE N0. _ �S 9��Q �C,�_ <br /> VALUE OF WORK rX�lin (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING / CG+'I,FO�Q — <br /> NOTE: WAC 296-46-140 requires that plans for electxical work at educational, <br /> institutional or health care Eacilities be approved by the State of Washington. <br /> Applicants with such jobs must show the State approved plans before a City <br /> of Everett per.nit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> r <br /> WORK TO BE DONE: ' <br /> � � /� Y 1�019"/UtC� �/pL7'K(( �LEQ7Y�$ (� �iJGN � tl9C k'�e�nuc�d <br /> _ Q uv�i T 2��szo dv/ w���Ei . <br /> ° L��S t, f,-:.� <br /> ° l�i s <br /> ' P�M �err P� � r k r � l, lr-� <br /> SIGNED: � ` !�'t// �/ C�'� DATE: b a '3 !/ <br /> 3/27/90 <br /> •.�:•rr..r... . ..........��:•..n.. ..... ..... ........� f'T..l�w-�V.���.nv: ..� ...r..�qv�q4^.I�I4:,1� . :T�' .. . I. 1 , .... . . . Ml d . <br /> . . .. . . ._ �:�.., _.,..,m. <br />
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