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25 75TH ST SW 2016-01-01 MF Import
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25 75TH ST SW 2016-01-01 MF Import
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Last modified
4/18/2017 9:03:53 AM
Creation date
4/18/2017 1:28:55 AM
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Template:
Address Document
Street Name
75TH ST SW
Street Number
25
Imported From Microfiche
Yes
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,� , <br />CITY OF GVGRETT DATG y- �,]- `)' <br />ELECTRICJIL WIRING PEIUIIT APPLICATION FEE ,� �,�� <br />J00 ADDIiESS ,�5 �75'� �� S. �..���>� �,;�� I�->i� �(o C� '�I��1�� <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />LICENSE NO. � �"��,a ,,I ��. ERPSRATION DATE %' S' "� I'`_% c� <br />ADMINISTRATOR �� �QN�c PIIONE N0. %�y- ,�.,�I� <br />VALUE OF WORK (do not include taxc�) <br />(for commerical wozk) <br />USE OF UUILDING <br />NOTE: WAC 296-46-140 requires tl�at plans Lor electrical wo��k at educational, <br />institutional or healCh care Eacilities be approved by the State of Washington. <br />Applicanta with sucli jobs must sliow tlie State approved plans before a City <br />of Everett permit will be issued, <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />SIGNED: r� �t� � �Gi, � <br />3/27/90 <br />DAT6: L/ ' I i- ' �� <br />
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