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921 LOMBARD AVE 2016-01-01 MF Import
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921 LOMBARD AVE 2016-01-01 MF Import
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Last modified
5/19/2017 6:18:44 AM
Creation date
2/17/2017 9:02:32 PM
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
921
Imported From Microfiche
Yes
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� <br />CITY OF EVEFtETT <br />EIECTRICAL WIRING PERMIT APFLICATION <br />JOB ADDRESS <br />TENANT <br />� <br />DATE: � � � - (J / <br />� ' �a <br />FEE: -� <br />�� D�/X ��� %� � `��� 2 5 19gA <br />..... <br />CI ]'y..nc...` .................. <br />FftOPERTY OWNER ��G /7� S(_ ��� /�' �-�Ublic yyorks�QprrT <br />ELEGTRICAL CONiRACTOR � p /� a fs ,CL fL � <br />LICENSE N0. �J%Jf a J,E '� � p d L i} EXPIRATION �ATE � 7- 3�- y� <br />ADMINISTRATOR �� � L �� S S FHONE N0. ��� � z/-� ? <br />VALUE OF WORK (do not include taxes) <br />(for comme*cia work <br />USE OF BUILDING ��• � �f� �S <br />NOTE: WAC 296-46-140 requires that plans for electrical •++ork at educational, <br />institutional or health care facilities be zpproved by the .State or" <br />Washington. Applicznts with such jobs must show the Stztz-aoproved plans <br />before a City of Evereit peamit svill be issued. <br />WORK TO BE OONE: <br />( l- /� S %� U �( �(.J � %CJ � L'"�i <br />SIGNED : �C(�/� �('/ /�--r�— DATE � � O � � / <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />
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