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4129 GRAND AVE 2016-01-01 MF Import
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4129 GRAND AVE 2016-01-01 MF Import
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Last modified
5/11/2017 8:17:03 AM
Creation date
2/20/2017 9:26:20 PM
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Template:
Address Document
Street Name
GRAND AVE
Street Number
4129
Imported From Microfiche
Yes
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� <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />� <br />I <br />DATE—�� <br />FEE�� <br />PROPERTY OWNER � '�'7 q ��-G _ <br />ELECTRICAL CONTRACTOR /{� �� �/ G-/ I'' � G <br />CONTRACTOR'S ADDRESS //7� <br />LICENSE NO.� J'� ��G �C�L /✓� /� L <br />ADMINISTRATOR �"4/+ / �/y�7�t /"' <br />VALUE OF WORK <br />(for commerical <br />USE OF HUILDING <br />CIYY ZIP <br />EXPIRA7'ION DATE f �7/ � <br />PHONE 510. , �� �{ ��S / <br />(do not include taxes) <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 Washington. <br />Applicants with such jobs must show the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in condvit. <br />WORK TO BE DONE: <br />SIGNED: � s :1n/J DATE: O ;,L <br />3/27/90 <br />:� <br />W <br />
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