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5401 S 4TH AVE 2016-01-01 MF Import
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5401 S 4TH AVE 2016-01-01 MF Import
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Last modified
5/10/2017 10:16:02 AM
Creation date
3/8/2017 1:55:51 AM
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Template:
Address Document
Street Name
S 4TH AVE
Street Number
5401
Imported From Microfiche
Yes
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CITY OF EVERETT <br />ELEC1RiCAL WIRING PERMII' APFLICFlTION <br />JOB A�ORE55 �> `� �� � - <br />LJ L� <br />DATE' C� � - _ <br />FEE: <br />7�i �: "�� ,{���c." <br />TENANT A� 1 F "�o F("- <br />FftOPERTY OWNER A -c_ � °�`' �' <br />ELECIRICAL CONiRACTOR S�OJ'`'`-6 <br />LICENSE N0. <br />ADMINISiRATOR <br />EXPIRATION DATE <br />PHONE NO . o� S �- �� y� <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDIN6 ( ���- <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 pezmit will be issued. <br />WORK TO 8E DONE: <br />�NSipL� N�+.v S�/Z��c�- .%UU ��r,G' <br />SIGNED : _�� `-� DATE � - � "_=� <br />NOTES AND COMMENTS: <br />6/10/37 <br />1922H <br />
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