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4109 GRAND AVE 2018-01-02 MF Import
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4109 GRAND AVE 2018-01-02 MF Import
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Last modified
8/6/2025 2:45:39 PM
Creation date
2/20/2017 9:21:57 PM
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Template:
Address Document
Street Name
GRAND AVE
Street Number
4109
Imported From Microfiche
Yes
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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />J�B ADDRESS %` <br />TENANT <br />DATE: <br />FEE: <br />PROPERTY OWNER � t� � �f�t'� �a rc P�� �( <br />� <br />ELECTRICAL CONTRACTOR c�� ( 111F'l� <br />LIC��SE N0. <br />EXPIRATZON DATE <br />ADMINIS7RATaR PHONE N0. �5 � <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING ���"�� <br />NOiE; WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or hezlth 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 pe:mit will be issued. <br />WORK TO BE DONE: <br />� l �11'E' �-, I l, �,�I� <br />SIGNED : �`��O /�J '//C�1�-�-�-o� DATE <br />/ <br />NOTES AND COMMENTS: <br />6/10/87 <br />192EH <br />
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