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4027 4TH ST SE 2018-01-01 MF Import
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4027 4TH ST SE 2018-01-01 MF Import
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Last modified
12/3/2019 9:12:57 AM
Creation date
3/8/2017 12:05:06 AM
Metadata
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Template:
Address Document
Street Name
4TH ST SE
Street Number
4027
Imported From Microfiche
Yes
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CITY OF EVERETT <br />ELECTRICAL WIRING PERMI7 APPLICATION <br />JOB ADDRESS �'-I U �- % <br />TENANT <br />RtOPERTY OWN�t• <br />ELECiRICAL CONiRACTOR <br />oa�: 0�0 Oc -{- � � <br />�/ ��� s�F S L <br />� ��-e� e �' <br />D� �u� f'� <br />FEE: <br />LICENSE N0. V A ��� � c� k�o N 7 EXPIRATION DATE <br />ADMINISIRATOR �'-s �� (,C� G f � PHONE N0. y� u- C= <<' 2 <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <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 jchs must show the State-approved plans <br />before a City of Everett pezmit will be issued. <br />WORK TO BE �ONE: <br />� /JG �f <br />—� � � /��. <br />SIGNED :(� ��,,,� ,� T'y�-L'.�,.-� DATE aU Di � O d <br />NOTES AND COMMENTS: <br />') n <br />J� i'-«�Cr�y . a� .L� 1 <br />/ <br />5!10/f,7 <br />'coou <br />�G <br />/ <br />t_ ) L,l�;�-i' C �L� 7'�, <br />
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