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1013 109TH ST SE 2016-01-01 MF Import
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1013 109TH ST SE 2016-01-01 MF Import
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Last modified
4/14/2017 4:54:14 PM
Creation date
4/14/2017 4:54:08 PM
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Template:
Address Document
Street Name
109TH ST SE
Street Number
1013
Imported From Microfiche
Yes
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i <br /> , ,:. <br /> ' <br /> CITY OF EVERETT OATE: `i i' I•� 3/ �J� <br /> ELECTRiCAL WIRING PE}iMIT APPLICATION � FEE: <br /> .�B ADORESS �`�/3 / �y' � '�•'� . <br /> 1ENANT <br /> FROPERTY OWNER �. (.' �i•,rT, <br /> ELECTRICAL CON'fRACTOR ��'e'� /�M�%%���J <br /> LICENSE N0. �k�/fis' �6JpU EXPIRATION DAT'e /d�j� � ,�� I <br /> A�MINISiRATOR �rw,%x Wi��y PHONE N0. �1 `� '1���+�� <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING � /' , X <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, ! <br /> institutional or health care facilities be approved by the State oP <br /> Washington. Applicants with such Jobs must show the State-approved plans � <br /> before a City of Everett peLmit wi21 be issued. � <br /> WORK TO BE OONE: • . <br /> � �� 117�D ���'/r,'� r `� K/i�'"' �jr'd� P <br /> � <br /> SIGNED j����,-.—���� DATE ��� 3�� <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1928H <br />
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