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5621 ROCKEFELLER AVE A 2016-01-01 MF Import
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5621 ROCKEFELLER AVE A 2016-01-01 MF Import
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Last modified
11/29/2017 8:42:30 AM
Creation date
2/27/2017 2:31:25 PM
Metadata
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Template:
Address Document
Street Name
ROCKEFELLER AVE
Street Number
5621
Unit
A
Imported From Microfiche
Yes
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CITY OF EVERETT <br />0.ECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS ,S � .� � <br />TENANT <br />DATE: r %� ' l � �%� <br />FEE: <br />lC�f L GC C/'� <br />..v <br />FROPERTY OWNER S/�/�l�C � <br />ELEC1FtICAL CONIRACTOR f�GG,r7�/S �G�c j _ <br />LICENSE N0. /�c��vC,�� y� �3 3 EXPIRATION DATE /-�f �j0 <br />A�MINISTRATOR �j��E�C.�//�NQ�%2 PHONE N0. 3�S / 770 <br />VALUE OF WORK lFi� �'~ ido not include taxes) <br />(for commercia work <br />USE OF �JILDING ���j 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. Applic2nts 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 />j �= �2 �/<� � G� C-1���'i � .��'z� !-Q�� <br />SIGNED OATE ��" i -' � �' <br />G�i ` ����t-.�.�_ / <br />NOTES APD COMMENTS: <br />6/10/87 <br />192EH <br />
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