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12230 19TH AVE SE 2018-01-01 MF Import
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12230 19TH AVE SE 2018-01-01 MF Import
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Last modified
6/6/2019 2:19:27 PM
Creation date
4/2/2017 2:03:28 PM
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Template:
Address Document
Street Name
19TH AVE SE
Street Number
12230
Imported From Microfiche
Yes
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CITY OF EVERETT OATE.�/7�� <br /> G� <br /> ELECTRICAL WIRING PEAMIT APPLICATION FEE 7 Q — <br /> SOB AI7DRE55 . � ��J�/�_ S,�` �� <br /> _—T� <br /> TE4ANT <br /> � <br /> PROPEP.TY OW:]ER LJ//f'J ��/f� <br /> E:.ECTAIGIL CONTMCfOR J�� �LG°✓�SE�D /o�s L/j'd . <br /> CONTAACTOR'S ADD[iE55 �((�7� OJ'�/9G4� /�E� �y�q�/ ��/�'��� <br /> CT_TY ZI? <br /> LiCE45E NO. EXPIRATION DATE� <br /> A�NINISTRATOR ?HONE N0. �J��- � 7 7 7 <br /> VALUE Os WORK (do not ir.clude taxes) <br /> (:or commerical work) <br /> USE Of' BUILDING //J`%O .���Q �f" <br /> —r <br /> NC^_'�: We1C 296-46-140 sequires t:�at plans fo: e'_ectrical wozk at e3�cational, <br /> ir.stitutional or health care facilities 6e aoproved by t::e State of 'r7ashinaton. <br /> Applicants mi[h such jobs c�ust show the S.ate approved �1ans be?ore a City <br /> of Evezet: per.nit wi11 be issued. <br /> NOTE: tiiring in non dwellings is required to he :a conduie. <br /> WO&K TO BE DONE: <br /> .7_ 7 o O c•nv�.�?�..,<.c�.� <br /> � i� '��� <br /> SIGNED: . �� oATE: ��/ /� <br /> ` <br /> 7/27/90 <br />
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