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10805 5TH AVE SE 2016-01-01 MF Import
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10805 5TH AVE SE 2016-01-01 MF Import
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Last modified
4/3/2017 9:39:04 AM
Creation date
4/3/2017 9:38:55 AM
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Address Document
Street Name
5TH AVE SE
Street Number
10805
Imported From Microfiche
Yes
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�w"°� /t��4 <br /> CITY OF EVERETT DATE: � � //%,�'7 <br /> ELECTRICAL WIRING PEFLMIT APPLICATION FEE: <br /> JOB ADDRESS /D QO C S�� 1�.., C F <br /> TENANT <br /> PROPERTY OWNER �vc Gon /�-.�c�" <br /> 0.ECTRICAL CONTRACTOR �/,`t 4e(r��.� ' <br /> LICENSE N0. /�/, �� u,n.; EXPIRATION DATE /ydq <br /> ADMINISTRATOR ��r,c f�r 2 �`� PHONE N0. ���/��35/ <br /> VALUE OF WORK �,,,� (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING �,��� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be appr�ved by the State of <br /> Washington. Applica�its with such jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> \ i <br /> li..)l�.-z h.e-..� Vw J 5-�- . . <br /> SIGNED : ���--u ] OATE ��,�7 <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> �928H <br />
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