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5121 HARBOR LN 2016-01-01 MF Import
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5121 HARBOR LN 2016-01-01 MF Import
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Last modified
5/8/2017 4:41:00 PM
Creation date
2/20/2017 10:44:19 PM
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Template:
Address Document
Street Name
HARBOR LN
Street Number
5121
Imported From Microfiche
Yes
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r� <br />CITY OF EVERETT <br />ELECTAICAL WIRING PERMIT APPI.ICATION <br />JOB ADDRE55 <br />DATE: t��� �� <br />F'eE: C�SS,E� <br />' � � /L/// <br />FROPERTY OWNER S/a 1�1 � � <br />E1.ECTRICAL CONTRACTOR {� fyJ�JC��$ �l�C'J , <br />i• v <br />LZCENSE N0. ��f�yJT /S%GJ _ EXPIRATZON DATE G} [� <br />ADMINISTRATOR �� "/�iylui PHONE N0. (p {�j� J% 9 S <br />VALUE OF WORK (do not include taxes) <br />(tor commercia work <br />USE OF BUILDING _�u�n/ �v5--e <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 />/ �� / • � rv � <br />SIGNED : � n.[n ��� DATE �.� �%� Sl I <br />_y����� <br />NOTES AhD COMMENT5. <br />6/10/87 <br />1928H <br />
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