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1004 110TH PL SE 2016-01-01 MF Import
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1004 110TH PL SE 2016-01-01 MF Import
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Last modified
4/14/2017 5:11:46 PM
Creation date
4/14/2017 5:11:40 PM
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Template:
Address Document
Street Name
110TH PL SE
Street Number
1004
Imported From Microfiche
Yes
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i <br /> � <br /> �1. � <br /> �, �.� �y �, <br /> CITY OF EVEREf'f DATE: � O 6�� <br /> ELECTR.LCAL WIRING PERM[T APPLICATION �E� <br /> ,708 ADORESS �D c> � -- �/ � � �I• J C L �-� 'E' V P_ f ( <br /> TENANT � f,C�) ?� <br /> 1 <br /> PROPEiTY OWNER L1V C'�. �'i A'�� I ; <br /> ELECTRICAL CONTRACTOR �� e, r II ' <br /> LI�F��SE N0. � O.� C� � I i J� I"� U E?cP:�A i ICN DAT: f9 .�� S � . � <br /> AOMINIS�ATGP. s • � � �' t��G�2i �`, PNONE N0. G ,�J' (�f�'� :� <br /> � 3 <br /> VALUE OF WORK (do not include taxes) <br /> (Por corrmercia wor;�l <br /> USE OF BUILDING 1 " `�-�-� E C '�' � <br /> � <br /> , <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 of `p <br /> Washirgton. Apoll�ants with such ,jobs must show the State-approved plans ' <br /> before a City of Everett pezmit will be issued. <br /> WORK TO BE DONE: i <br /> i <br /> �' o o �Q�t� j.� v �t- C(/l �,�1 �v i �n,s ' � <br /> I <br /> �////� / h c <br /> SIGNEO : � ' ���L'-GCL�I'�c-d--� DATE - C�' � � 0 --- - - - <br /> MOTES APID COMMENTS: . <br />"� <br /> ;`� <br /> � 6/10/87 <br /> ,;�� 1322H <br /> f' <br /> o� <br />�,. <br />
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