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10911 3RD DR SE 2016-01-01 MF Import
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10911 3RD DR SE 2016-01-01 MF Import
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Last modified
4/10/2017 9:31:27 AM
Creation date
3/7/2017 11:01:53 PM
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Template:
Address Document
Street Name
3RD DR SE
Street Number
10911
Imported From Microfiche
Yes
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CITY OF EVERETT �ATE: ..5-�.e-_�y <br />4 <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: ol�, a� <br />JOB ADDRESS � �� � l 3��'? • �� � � Uf 1`F l t,u� n e`da r� <br />TENANT <br />PROPERTY OWNER 17�2onvs'�o Irlc . <br />ELECiRICAL CONIRACTOR S��ohom�.�l� �lec�'�G ��o- <br />LICENSE N0. .SNo i+o�G � y I RA EXPIRATION DFTE (2-�$3 <br />ADMINISTRATOR �e� Jai�c,iPa^s PHONE NC. `3�j5 -��S'-E <br />VALUE OF WORK (do not incl�:le taxes) <br />(for commercia work <br />USE OF BUILDING fes r d Q n e� <br />NOTE: WA:. 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be ap�roved 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 />New aoo qv�n S�z.r�,�e, <br />SIGNED : �� \ �� �«�+� DATE S - (8- 8'8 <br />NOTES AND COMMENTS: <br />6/10/87 <br />192LH <br />
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