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1012 109TH ST SE 2016-01-01 MF Import
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1012 109TH ST SE 2016-01-01 MF Import
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Last modified
4/14/2017 4:53:12 PM
Creation date
4/14/2017 4:53:07 PM
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Template:
Address Document
Street Name
109TH ST SE
Street Number
1012
Imported From Microfiche
Yes
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i <br /> � <br /> CITY OF EVF3iETT DATE: /J -( � 0 � <br /> ELECTRICAL WIRING PERMIT A 'PLICATION � FEE: <br /> /� y� � > <br /> J08 ADDRE55 v � L L' � S� � <br /> A�.J'vn� <br /> TENANT � �-e� <br /> PftOPERTY OWNER .G� /--�—_ <br /> ELECTRICAL CONTRAGTOR 2 c�� <br /> LICENSE N0. e ��� EXPIRATIGN OATE �� <br /> ADMINISTRATOR ) PHONE N0. _���7L S,3 <br /> VALUE OF WORK (do not include taxes) <br /> (for corrmercia work � <br /> USE OF BUSLDING � <br /> —T <br /> NOTE: WAC 296-46-140 require� that plans for electrical work at educational, <br /> institutional or health car= facilities be approved by the State of <br /> Washington. Applicants with such ,jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE OONE: <br /> �� � 1/' ��'1 ,/ I j� � <br /> � � DATE `7 "{�� � <br /> SIGNED : .C� <br /> +s�— <br /> NOTES ArD COMMENTS: <br /> 6/10/8? <br /> 1922H <br />
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