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4925 24TH AVE W 2016-01-01 MF Import
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4925 24TH AVE W 2016-01-01 MF Import
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Last modified
4/17/2017 8:11:42 AM
Creation date
4/17/2017 8:11:40 AM
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Template:
Address Document
Street Name
24TH AVE W
Street Number
4925
Imported From Microfiche
Yes
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� y <br /> ��,y <br /> ryy <br /> ��� �� ��� <br /> ��� <br /> � �� CITY OF EVEREfT DATt: ��J��l`J <br /> o �"' ELECTRICAL WIRINC FERMIT APPLICATION F��: <br /> � �,g <br /> Ny � <br /> xH <br /> '�" H JOB ADCRESS yy,ls. ,y�� �LC �>,e.Z� <br /> gy <br /> d y TENANT _ <br /> ��� PROPERTY OWf�R ��` �-;�.s. ������",: <br /> — -- ELECTRICAL CONTRACTOR �.� <br /> ELEC. CONTRACTOR'S MAILING ADDRES� <br /> LICENSE N0. EXFiRA?i0N DATE <br /> ADMINISTRAT� PHONE N0. 3y7_3 �� 5� <br /> VA�UE OF WORK (Co not i�clude taxes) <br /> (for commercia work <br /> US'c CF BUILDING �r� <br /> '�1 NOTE: WAC 296-46-1v0 reauires that plans Tor zlec�rical work at educational, <br /> institutional or health care facili.ties be approveC by the State or" <br /> ��' Washington. Applicants with sucn jots r..ust show the State-approved plans <br /> before a City of Everett permit will Ce ±ssued. <br /> � � <br /> ��I 'AORK TO BE DONE: <br /> 1 .���� �D�.,ct <br /> � ' <br /> '�� <br /> '�� <br /> �' <br /> ' SiGNED : ✓vi_,.1�� ,`�,� /�-17/,��, <br /> _7�� � <br /> DATE <br /> NOTES AND COMMENTS: <br />
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