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3 75TH ST SW 2016-01-01 MF Import
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3 75TH ST SW 2016-01-01 MF Import
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Last modified
4/18/2017 8:57:46 AM
Creation date
4/18/2017 1:31:05 AM
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Template:
Address Document
Street Name
75TH ST SW
Street Number
3
Imported From Microfiche
Yes
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.. qA.•.. , . . . . �.nA'.. .. i.. ...'\ .i '•I.. �� .r�ll,. . . . ... . ..•� .... . . _.... �. . � <br />CITY OF EVEAETT ;` �� � <br />DATE S - / S <br />ELECTAICAL WIRIN�; pEpMIT APPLICATION �� �L' <br />. FEE��_ <br />• /� �� � � <br />JOB ADDRESS . _._ .S - � S " St' � ��,1 , L J<° �,� <br />TENANT ___N��I�IJ� /`�'! �!1�. <br />PROPERTY OWNEit . ( <br />�.--f <br />ELECfRICAL CONTRACI'OA <br />CONTRACTpR'S ADDFiE55 <br />S C= C�R-�,. S f: -_ - <br />LICENSE N0. ST•�� j� F%I.') )�K EXPTRATION DATE � �,.Z _ <br />ADMINISTRAI'OR �� �S �,� ij I�. ` PHONE N0. � S 1 Q 1,�� <br />VALUE OF WORK (do not include taxes) <br />(for commerical Work) <br />US£ OF BUILD!:NG S j ������, A7 �{� .. <br />� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilitiee be approved by the State of Washington. <br />Applicants with such jo6s must show the State approved plans hefore a City <br />af Everett permit will be issued. . <br />NOTE: Wirin� iu non dwellings is required to ba in con3uit. <br />WOAK TO BE DONEs <br />SIGNEDi �/ /.C�L- ,Lti-(r� 1f�- ��Il�i _J DATE: �r �.� `% <br />� <br />]/27/90 <br />
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