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1203 103RD PL SW 2016-01-01 MF Import
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1203 103RD PL SW 2016-01-01 MF Import
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Last modified
4/18/2017 2:30:02 AM
Creation date
4/14/2017 11:10:14 AM
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Template:
Address Document
Street Name
103RD PL SW
Street Number
1203
Imported From Microfiche
Yes
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CITY OF EVERETT DATE: � -c� '- � �� <br />ELECTRICAL WIRING PEFtMIT APPLICATION FEE: <br />.708 AD�RESS _��O j �i] 5� J fc _S Ct� <br />TENANT <br />FROPFATY OWNER �' �"�n,�a. ,�' �P/ /�� �C.�r � <br />ELECTRICAL CONiRACTOR �i, /�v� ��� t`_=/r� �. � ,T> c <br />—� <br />LICENSc N0. I/Y�t`/'F /{/�� /i � EXPIRATION DATE <br />ADMINISTRATOR �,/ ' L�� ��/ PI10NE N0. � 3 y-> �j 7�� <br />VALUE OF WORK (do not include taxes) <br />(Por commerciei wo:k <br />USE OF BUILDING �� /�.�� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institut�onal or health care Pacilities be approved by the State of <br />Washington. Applicants with surh jobs must show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />�7j���1 it'�c�1��. ��_ � — <br />SIGNED : ( ,��,c� ��x�-, DATE �._.�.? d"� _ <br />NOTES APD COMMENTS: <br />6/10/87 <br />192eH <br />
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