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423 109TH PL SE 2016-01-01 MF Import
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423 109TH PL SE 2016-01-01 MF Import
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Last modified
4/14/2017 4:36:54 PM
Creation date
4/14/2017 4:36:50 PM
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Template:
Address Document
Street Name
109TH PL SE
Street Number
423
Imported From Microfiche
Yes
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i <br /> �.�. <br /> " CITY OF EVFRETT DATE: �-I.3- �� <br /> :,'�' <br /> i ; <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> ;, <br /> JOB AODRESS �'F�3 I ��� n I S �� �'f' 7 /W�rt �PL�LLY� I <br /> TENANT I <br />�;' I <br /> 4� R�OPERTY OWNER Cae.����orc.c� ��"1�'- • _ I <br /> ELECTRICAL CONTAACTOR �I-�m�sh �I�tk�C. �A. <br /> � LICENSE N0. `yVO H0�I H-1�f) EXPIRATION DATE /•3�5�4� <br /> � A�MINISTRATOR �{¢• �r�(�2(y PHONE N0. 335--1-]S� <br /> . , <br /> �� <br /> ; VALUE OF WORK (do not include taxes) <br /> (Por commercia work <br /> �"� USE OF BUILDING (�Z; IC�rZXIc�, <br /> `�r NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> ' institutional or health care facilities be approved by the State of <br /> ? Washington. Applicants with such ,jobs must show the State-approved plans <br />�'' before a C1ty of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> ,.,: <br /> r;; <br /> u <br /> Y'� <br /> �4i <br /> SIGNED : �Q � DATE �— /3 �-gY <br /> NOTES AND COMMENTS: � <br /> 6/10/27 <br /> 1928F+. <br /> • � <br />
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