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421 MADISON ST 2016-01-01 MF Import
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421 MADISON ST 2016-01-01 MF Import
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Last modified
5/11/2017 9:01:48 AM
Creation date
2/17/2017 10:25:47 PM
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Template:
Address Document
Street Name
MADISON ST
Street Number
421
Imported From Microfiche
Yes
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-� ,-. <br />CITY OF EVr'RETT DATE: � � �_ <br />ELECTRICAL WIRING PERMIT APPLICA�iION FEE: <br />JOB ADDRESS yyJ� � ; � �,-v <br />TENANT �� S K � nJ J�i �C 12 <br />FROPERTY OWNER �'y ,m .� <br />ELECTRICA� CONTRACTOR,� j�7o /��y /�o �„�}--- �/<<�'. �;,� G <br />LICENSE N0. ��j77�j�r �J� �3�'-v EXPIRATION DATE ���� � J-- <br />ADMINISTRATOR ��� ,,,,,� �/ �✓% I�r.-� PHONE N0. L�$�� y� 7 <br />VALLIE OF WORK (do not include taxes) <br />(for commercia wor4; <br />USE OF BUILDING ��1,{ � . <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 />� — � E' � .�liG�•c !��_./_ , �� � ....� <br />�— 6�/G ��7` G i vc4 i i- <br />/ - /✓ �/ � C��/f G 4 � / <br />SIGNED : ��J�,l�yl?2��jyJ oz-.�J DATE %/���j i7 % <br />, <br />NOTES FlND COMMENTS: <br />6/10/87 <br />1928H <br />
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