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209 110TH PL SE 2016-01-01 MF Import
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209 110TH PL SE 2016-01-01 MF Import
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Last modified
4/14/2017 5:17:42 PM
Creation date
4/14/2017 5:17:39 PM
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Template:
Address Document
Street Name
110TH PL SE
Street Number
209
Imported From Microfiche
Yes
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CITY OF EVERETT � DATE O -/�' Q . <br /> P+i <br /> ELECTRICAL• WIRING PEPMIT APPLICATION FEE y�J <br /> aoB nnnxEss ..ZO9 110� PL S E Fv�eE� wA 98a�$ <br /> TENANT UO�IL- F. M,cNIE4t�IJ <br /> PROPERTY OWNER �IE E . M�c1�k`1a�.1 <br /> ELECfRICAL CONTRACTOA SAMr. AS Abu.u�. <br /> CONTRACTOR'S ADDRESS GAMF_ AS Abn.lF <br /> , CITY ZIP <br /> L.LCENSE N0. EXPTRATION DATE ' <br /> ADMINISTRATOR PHONE N0. ��3 - �Xp� <br /> VALUE OF WORK (do n�t include taxee) <br /> (for commerical work) <br /> USE OF BUILDING +c��yLlS�Q / S`�L , <br /> NOTE: WAC 296-46-140 requiree thnt plana for electrical work at educntional, <br /> inetitutional or health cara facilities be approved by the State oC Washington. <br /> Applicanta with euch jobs muet ehow the State approved plane befora a City <br /> of Everett permit will be iaeued. <br /> NOTEc Wiring in non dwellinge is required to be in conduit. <br /> WORK TO 88 OONE: • <br /> 1i.»Fnll a_r41� An�. I'��I+�i„� --F�,�pSEd �ht+�g� . <br /> n �/ . '7' <br /> SIGNED: _ ,I�J��tD QL�� /� /.C/1�'l� DATEe - [fo-9�_ <br /> 3/27/90 <br /> . ... .w .. . .. . . . . •.... ..... .... . ..�v�rrw�v.n... . , � •i�rv.T�'1n�!�R'�.:f� . �. . nl'��'.�^.., .. � yyrt.��...� y <br /> I <br />
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