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10220 3RD AVE SE 2018-01-01 MF Import
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10220 3RD AVE SE 2018-01-01 MF Import
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Last modified
12/3/2019 8:20:48 AM
Creation date
3/7/2017 9:41:02 PM
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Template:
Address Document
Street Name
3RD AVE SE
Street Number
10220
Imported From Microfiche
Yes
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CITY OF EVERETT DATE: I I — ZS -a � <br /> ELECTRICAL 'WIRING PERMIT APPLICATION FEE: <br /> JOB ADDRESS 1d��GO '- ����CT�� �� �i�✓� <br /> TENANT <br /> PROPERTY OWNER �i"�,Am�.�C G �dZ7L.J 11C5i3O��1Ti �L , <br /> ELECTRICAL CON'iRACTOR '� <br /> LICENSE N0. EXPIRATION DATE <br /> ADMINISTRATOR �,/G� PHONE N0. ,��' 6�Si' <br /> i <br /> VALUE OF WORK (do not include taxes) I <br /> (for commercia work <br /> USE OF BUILDING L Q� �!%n'/.O f U�2-S <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 /> �r.ilD �F.f�Or.lra.� !i`cJl„�-P/1- �p�2 5 �� .�x� �; <br /> I <br /> SIGNED : �_ � DATE I���S � <br /> NOTES AND COM�•tENTS: <br /> 6/10/87 <br /> 192EH <br />
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