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5601 LOMBARD AVE 2016-01-01 MF Import
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5601 LOMBARD AVE 2016-01-01 MF Import
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Last modified
5/10/2017 12:02:20 PM
Creation date
2/17/2017 8:49:28 PM
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
5601
Imported From Microfiche
Yes
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�. <br />CITY OF EVEftETT <br />ELECTRICAI_ WIRING PERMIT AFPLICATION <br />JOB A�DRFSS <br />TEMANT <br />PROPERT`! OWNE72 <br />DATE: �/ � � � <br />FEE: <br />����/ ��� <br />ELECTRI:CAL CONTRACTOR /�Q 9-� f� J — <br />LICENSF N0. <br />ADMINISTRATOR <br />EXPIRATION DATE <br />PHONE N0. �1� L� - �� � �� <br />VALUE OF WORK (do not include taxes) <br />(`or commercia_ work <br />USE OF BUILDING �`�i[�� _ <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional er health care facilities be approved by the State of <br />Washington. Applicants with sur_h jobs must show the State-approved plans <br />before a City of Evzrett permit will be issued. <br />WORK 1'0 BE 00 <br />.�, �- a <br />SIGNED : <br />NOTES <br />6/10/87 <br />1928H <br />0 <br />DATE �_�� <br />
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