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1316 PARK DR 2016-01-01 MF Import
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1316 PARK DR 2016-01-01 MF Import
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Last modified
2/24/2017 11:04:43 AM
Creation date
2/24/2017 11:04:36 AM
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Template:
Address Document
Street Name
PARK DR
Street Number
1316
Imported From Microfiche
Yes
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� � <br /> H <br /> q M • <br /> > H C/� <br /> i <br /> H N <br /> .:.y �... <br /> e , <br /> 'i1 H �tl CITY OF EVERETT � DATE /L- 7-9 n <br /> yy -no <br /> z <br /> ELECTRICAL WIRING PEFMIT APPLICATION FEE �� <br /> � �d , � <br /> ��g JOB ADDRESS % � / �t' %%Y✓�L /'�1�� u-�- - <br /> y TENANT <br /> 7.H <br /> �1 U�N FROPERTY OWNER S�� S ��� �`� ��Y�/J �� '� <br /> nC7ti � <br /> ��� ELECTRICAI. CONTRACTOR ���L N�+-5��� �/� � �� <br /> p y CONTRACTOR'S ADDRESS � 0� L��� ��r N Q., S�7'/..�.C� � �,/Nd•y.� N' %�O �c'I <br /> CITY ZIP <br /> � � LZCENSE NO. �(�G v1Tyi �.����� �L �C,� EXPTRATZON DATE � / L �.���� <br /> elDMINISTRATOR � E!J / (��l/I,'�SS ��J PHONE NO. ��S �l = r 7i i / <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) �� <br /> USE OF BUILDING /L ,P 5�l t ` P�✓c i' — <br /> NOTE: WAC 296-46-140 requires that plans for electrical vor'c at educational, <br /> institutional or health care facilities be approved by the State of t0ashington. . <br /> Applicants with such jobs must show the State approved plans before a City <br /> '�' of Everett permit will be i:.•sued. <br /> '�f NOTE: Wiring in non dwellings is required to be in conduit. <br /> 1 ' WORK TO BE DONE: � ' <br /> 'i G� C f"� i.�l '7 i'Y.L�Lf/,L�' �,C�N✓ � � 1 , <br /> ,cc��-�-`� <br /> �� <br /> �1 <br /> �'� <br /> �1 <br /> ' SIGNED: I—`�F'1� l G ��1"^� DATE: �� ' �- � � S C•� <br /> O <br /> I <br /> 3/27/90 <br />
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