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1410 51ST PL SW 2016-01-01 MF Import
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1410 51ST PL SW 2016-01-01 MF Import
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Last modified
4/11/2017 6:51:58 PM
Creation date
3/31/2017 3:22:37 PM
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Template:
Address Document
Street Name
51ST PL SW
Street Number
1410
Imported From Microfiche
Yes
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Dec 30 10 01:35p Corridor Electric Inc <br />� <br />360-862-8150 p.2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREF_T, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetiwa.org � 2_ 3 D /Q'/ <br />APPLICATIONS ARE ACCEPTED FRUM 8 AM TO 4 PM C/D � Z�-� 9�./ <br />/ <br />/�l D �l S� pCC«� . <br />PROJECT ADDRESS <br />�T� N�c.r� i��o .�ist P��i�� a�.� .z ���rr c�i 9�z� ��5259�7� <br />OWnef Mail Addmss Ciy StateZp Phrne <br />i� ,r ,� �� � // <br />�41�d �IC55 <br />���-�G7TEIL/�Ic <br />ElectricalContractor Mainddress <br />_�Qi�R��s �J� 3 r2� <br />S;ate License Number <br />�-Fh / D ��t}7 �- L� <br />Proposed Use of Bui�ding <br />Descriplion of Work ro Be Done: �� Vy ��� <br />NnT'": WIRING IN NON-DWELLINGS IS REQUIRED TO <br />&E IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LDCAL SALES TAX CODE IS 3105 <br />! hereby ceRiiy that f hnv <br />correct. All provisions ol <br />whether spoafied herem <br />violate or cancel the proe <br />peifomrnnce ol construu <br />work for which appGcatio� <br />296.200 WAC. <br />/J � <br />��:�>"'i� vL� ilS�(/L <br />Signature <br />read and examined fhis application and <br />Clty <br />Slele/Zip <br />Phme <br />A✓e�c� fs'nk��lcrni�S� <u�� `��'Zyo <br />�r sr��erre �O�,C-�o��� <br />—?�6G�v �pk'OX� <br />Can act Price of Work <br />���'h/Y�r�il.� <br />Contact Persen (Plan Rewew) <br />S <br />FEE <br />3 fo be We and <br />completed �` OI Z- � Cj �/ <br />�e audionty to � <br />tion or tlle <br />�' V <br />
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