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10806 10TH DR SE 2016-01-01 MF Import
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10806 10TH DR SE 2016-01-01 MF Import
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Last modified
4/3/2017 7:23:02 AM
Creation date
4/3/2017 7:22:56 AM
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Template:
Address Document
Street Name
10TH DR SE
Street Number
10806
Imported From Microfiche
Yes
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_ <br /> f,, : <br /> i� <br />����� I <br /> h%'. . li <br /> R , ��, -�:�.,M � <br /> ?0m`x::. <br /> CITY OF FVERE'fT DATE: _______1�/ ��1���� I <br /> �T- <br /> ELECTRICAL WIRING PERMIT APPLS�ATIOh FEE: <br /> JOB ADDRESS ��,�=�� �O S� , _ I <br /> TENANT <br /> PROPERTY OWidER _ � � li�iy/l�f� 5 II <br /> EL�CTRICAL CONiRACTOR �lj��'ti� /%(�'s�/i`//r�/ �, <br /> � <br /> LICENSE N0. 1„��v� /fJ� �G�'GDEXPIRATION DATE / � I <br /> ADMINISTRATOR �.��-'✓�;y J,r��r� PHONE N0. 3j 7`- ��'�s� I' <br /> � <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia w� <br /> USE OF BUILDING �P 5 <br /> NOTE: WAC 295-46-140 requires that plans for electrical work at �ducational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applicants with such jobs must show t�e State-approved plans <br /> nefore a City of Everett permit will be issued. <br /> WORK TO BE �iONE: I � <br /> '� <br /> � G`D� ��/='�/D ��/'G�i`cr � �ir��f �/v�y-e <br /> I <br /> � <br /> I <br /> SiGNED��� `� _ � DATE / � ' f�� I <br /> —� = I <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1922H <br />
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