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920 105TH PL SE 2016-01-01 MF Import
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920 105TH PL SE 2016-01-01 MF Import
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Last modified
4/18/2017 1:27:21 AM
Creation date
4/14/2017 11:31:44 AM
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Template:
Address Document
Street Name
105TH PL SE
Street Number
920
Imported From Microfiche
Yes
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SEP-16-200'' 0G:25 FROM:PERMIT <br />4257756315 T�:14252578857 P.� <br />Ea_ECTRICAL PERMIT AQPLICATION <br />:'ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everet�wa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM - DEBIT i CREDIT CNtOS ARE NOT ACCEPTED <br />9za �arr�' �i sE <br />PROJECT ADDRESS <br />�l�_,(��u�� _ ft qzv /z'�r /��� <br />C�Vner Mail Addrnss G�y <br />�{z� 3s3o�i <br />��,(Q�Ci��C �L'G� <br />Slala2ip. ._..---- Phpna <br />�/'�l /�� <br />TenBnt Mali q�tlresB Cily 3L31 � Ap IMnne <br />GUa/�1 ��'�i�- ��c.v. z�v �i"1�� r,`�u� f�z y7� <br />Electdcal Cantraclor Ala�l Acy�rn» aty sim�rLp rnone <br />_1�f�J�-1 /E1'97/� D <br />Siete Licenee Numbxr <br />f� <br />ProposeC Use of Bui�tlmp <br />�� i <br />ronlrect Piice of Work ------ -- <br />L�vtd�.�i!"�7r �/f� <br />Conla�t Pernun (Plxn RBWew) <br />Descdptlon of Work 10 Be Done�. <br />�OD�i2 , / 30 oa�p C��c�.� f --_Lvy �4C: <br />NOTE WIRING IN NON-DWELLINGS IS REaUIRED TO fEE <br />BE IN RACEWAYS, MC OR AC CABLE � <br />CITV OF EVERETf LOCAL SALES TAJ( COOE IS 3'OS <br />I hereby cerldy fhel l ha�e read end exemineAfhis eppllcetion and Fnow Me semn fo be �we ea�f <br />r,omtcf All provisions ollewa end ord�nenres yuvarning Ihis type ol worh w�l/ be rompleletl <br />whelner specifiad hemin or no( The grxnting ol e permd does nol resume M g�ve eufhonty lu <br />ciolofe or cencel tlre proviefons ol eny othar slnle or loce� lew reguPMng conshuclron or Me <br />paAormenca ol construclloa That I ern eufhod¢ed by the owner o/ fhrs� ropehy to pedorm Ihe <br />wor� lor which epplicefiun is rnede and I compty wllh t�e Slefe Conlrecfors Lew 18.77 RCW and <br />?96200 WAC. <br />-- ��� _�a,� - - - q�/�� � <br />��sn� -txr l <br />
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