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21 75TH ST SW 2016-01-01 MF Import
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21 75TH ST SW 2016-01-01 MF Import
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Last modified
4/18/2017 9:06:35 AM
Creation date
4/18/2017 1:27:21 AM
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Template:
Address Document
Street Name
75TH ST SW
Street Number
21
Imported From Microfiche
Yes
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CITY QF EVERE'PT yy� <br />ELECTRIG�L WIRING PERDiIT APPLICATION <br />'�'�` DATE�/ <br />FEE �C �X7 <br />JUB AllDRESS ,� I ' � ��� �� �(..� S�dL�f`'l � I ; ��" � � 1 I LA' <br />TENANT <br />PROPEATY OWNER <br />ELECTRICAL CONT <br />CONTRACTOR'S AD <br />LICENSE N0. l 1,a�'} \1(„� �-� r <br />ADMINISTRATOR P(� �� ��� <br />VALUE OF WORK <br />(for commerical work) <br />E7CPIRATION DATE � �' � 1 '�_ <br />PtfONE N0. � 3y - ��,a I�% <br />(do not include taxes) <br />� <br />USE OF BUILDING ( p�� ��N`4 ��` � <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care fzcilities be approved by the State of Washington. <br />Applicants with such jobs must show the State approved plans before a City <br />oi Everett permit will be i.ssued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />SIGNED: C=� C�( �� ti . <br />3/27/90 <br />DATE: � - i�, - �I I <br />�� <br />
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