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206 MEDORA WAY 2016-01-01 MF Import
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206 MEDORA WAY 2016-01-01 MF Import
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Last modified
2/25/2017 6:44:46 PM
Creation date
2/25/2017 6:44:38 PM
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Template:
Address Document
Street Name
MEDORA WAY
Street Number
206
Imported From Microfiche
Yes
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� <br /> CITY OF EVERETT DATE: ��Z�&� <br /> 0 <br /> ELECiRICAL WIftING PERMIT APPLICATION � �E; <br /> JOB ADDRESS _2 6 ( f1� /�� ,� ,g <br /> TENANT _g i� � i r ,a� <br /> PROPE�tTY OWNF� S.r¢-e-f 6 <br /> ELECiRICAL CONTRACTOR �/Z i GS n- . s i <br /> LICENSE N0. ,�.L � G s'� �q 3 n 4 EXPIRATION DATE i Z / (� /B� <br /> ADMINISTRATOR ,�.C� G p ,�,�i[�,�oSn .v PF'ANE N0. �� � � qZ .!� � <br /> VALUE OF WORK (do not include taxes) <br /> !for co�ranercia work <br /> USE OF BUILDING �s � a � . 7-��� <br /> NOTE: WAC 296-46-140 requires thst plans for electrical work at Educational, <br /> institutional or health care facil.lties be approved by the State oP <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 /> �2) Lve �� ,_ /7� � ti_ w /1„II;� _ � <br /> � �L�� �_ �-- <br /> SIGNED : =�.,_� � (_1!_ ..Q DATE � /2�Af� <br /> NOTES A�D COMMENTS: <br /> 6/10/87 <br /> 1928H <br />
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