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13110 19TH AVE SE 2016-01-01 MF Import
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13110 19TH AVE SE 2016-01-01 MF Import
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Last modified
4/11/2017 12:22:28 AM
Creation date
4/2/2017 2:38:33 PM
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Address Document
Street Name
19TH AVE SE
Street Number
13110
Imported From Microfiche
Yes
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:0/�8/2006 22:11 2064366023 TOBY Q EC COh1PAIJY PAGE 02 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SEI�VICES ���_pg <br />3200 CEDAR STREET, EVERETT, WA 98201 / <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org C Q�/ j� -���%(� <br />APPLICh710N3 ARfi ACCEPTEp FROM 8 AM TO 4 PM <br />iq�, �-U� ��--' <br />�3110 rt <br />PROJ�C'f ADDRESS <br />owner <br />S - ` <br />Mpi� Addf006 <br />Cfly <br />&Nte2ip Phone <br />S 4. w, 2 <br />Tenant MallAddress City SIet�21p Phonu � <br />� <br />ElecVlcal <br />lv�l � s+ � L= f.� <br />Mall Address Gty <br />r_�c� w� �" i u� Qr4 <br />State License Number <br />Proposed Use of Building <br />1}'�1�6fkJ� �FX+-'�i�i <br />Stute2ip Pnone <br />- ; i �" �) <br />7 � "� <br />ConVact Pdce of Work <br />v� 13�.r r� _ <br />Contact Pereon (Plan Revlew) <br />Description of Work to Be �one: �✓�S�i1 f I ��1 �,�U C i� U�� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUII��D TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX COOE �3 3105 <br />! hnve roed end exemined Mns <br />e to be truo and <br />completod <br />ie aulhortty to <br />t/on or tho <br />ivoi7r for whlch appllcotion la mado entll comWv wlth"the Ste�e Contractbrs'Law 1 B37 RCW and <br />FEE <br />
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