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9313 5TH DR SE 2016-01-01 MF Import
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9313 5TH DR SE 2016-01-01 MF Import
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Last modified
4/3/2017 11:06:02 AM
Creation date
4/3/2017 11:05:55 AM
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Template:
Address Document
Street Name
5TH DR SE
Street Number
9313
Imported From Microfiche
Yes
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C14��- O�y � - � <br /> ELECTRIC/�L PERMIT APRLICATtQW <br /> ClTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STkEET, EVER�'�i', WA 982Q 1 <br /> 42�257-8810 - FqX q25-257-�J857_�y.��,� <br /> � �313 5�h �f S£ L�ri- '�3 <br /> PRWECT ADDRESS <br /> n I d-C SU �� rYtitll�..c-� <br /> SULtii�� �"(kc_i-.r-Z 5��.� IfJ1 <br /> c�,nar ncoanae� �u��f- C,•i�- QF;�nr! u�i,45'3,d-P[x7 <br /> c^� sa�,rLy <br /> f'hone <br /> TC.'iBf12 <br /> tduil Addmss ���, <br /> Smtrl�p Ptmne <br /> }�2i^t�J ��echrr�'��^c. �oDtl�( IZk,b 1��F�� �`Rr,Lc a� 9�a�2 <br /> Eiatricat Cormador n+a+�aeem� �, �.Z 1 3�7 S3� <br /> ��� i'hune <br /> �e��� � e ; 5'29 �v-F <br /> State LlcensE Numbar <br /> CorttraC Price o(WQ� <br /> Nroposed llse ofQudding <br /> ConladPerson (PlanRevieW� <br /> ���(1f n-sd�.'�!mw oorestrucion, remodet w add�mn) <br /> Number of devices pf lavr voltage) <br /> Desaipdon af Work to Be Done "e� � � <br /> FEE <br /> CIT(OF EVERETT LOCAL SAI.ES 7AX CODE IS 3105 �O�� <br /> !hrmDy car}ify tlzatl ha;ru m,[ut and examrned fhis appllr,ab'pn andlmow Ure sarrte fo tre huo and <br /> COrmcL All prrn3�ans oflaws and ortTinartcrs r,�overr�vt�thls►ype O/wotk wrA he axnp�plr.d <br /> whethorsp�ai he�oln arnaL 71rs 9��rB ofa Mmrrf does rwt Ptesume fo glvt�arAharify In PERMIT� <br /> viofaro or cencel fl�e provrslons ot onyWher stafe orloca!/ewrngWating consbucNan orfhe <br /> pe�lormanro 07 consMictton. 1 hat I am uulltonr.ed by Ihn ownerof fhis proporty to pcAorm!he E I �I� _ O� � <br /> work for:v !ch epplic on!s rnade and!rw�mply wRh fhe Stafo Con7racfas Law 7827 RCW and <br /> C. <br /> ` la � l�- <br /> s <br /> ,nulwo D310 <br /> �BYI:ED:✓Xv0 <br /> S �� 9tLLL£ESZb ou� ouloo�� �iuio � dr';: ',p 'vl »0 oor� <br /> ��� <br />
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