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12115 19TH AVE SE 2016-01-01 MF Import
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12115 19TH AVE SE 2016-01-01 MF Import
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Last modified
10/10/2017 3:24:30 PM
Creation date
4/2/2017 1:57:33 PM
Metadata
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Template:
Address Document
Street Name
19TH AVE SE
Street Number
12115
Imported From Microfiche
Yes
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1 <br />CITY OF EVE,'E T T #111 DATE: <br />ELECTRICAL WIRING PERMIT APPLICATION <br />FEE: <br />2 l l5uer�— <br />ACCRESS 195/4 /a S S6 <br />TENANT VA &"7"C.o <br />PROPERTY OWNER •. . . <br />E..ECTRICAL CONTRACTOR a b's <br />LICENSE. NC. 2c9 Ss Z7 EXPIRATION DATE /f/ 9 <br />ACMINIS i RATCR 'q herr' •-pq P -ONE NO. 33'/ <br />VALUE OF WCRK Z --.'"---4%/7..y 2.471 (do not include taxes) <br />(for commercial. wc:<) <br />USE OF BUILDING <br />NOTE: WAC 296-46-14 reguires that plans for electrical work at educational, <br />institutional or health care facilities be acproved by the State of <br />Washington. Applicants with such jccs must show the State -approve plans <br />before a City of Everett permit will be issued. <br />WORK TO 8E DONE: <br />SIGNED : <br />NOTES AND CCMME`1TS : <br />6/10/87 <br />1928H <br />DATE ,S1 ii/rt <br />
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