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126 75TH ST SW 2016-01-01 MF Import
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126 75TH ST SW 2016-01-01 MF Import
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Last modified
4/27/2017 1:17:02 PM
Creation date
4/27/2017 1:17:00 PM
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Template:
Address Document
Street Name
75TH ST SW
Street Number
126
Imported From Microfiche
Yes
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��� <br />A x <br />�Hf~i� <br />K � C~] <br />H �1 <br />�MhI <br />Mypy� <br />x <br />O 1-+ d <br />��g <br />�i]V �] <br />H <br />y7 M <br />L� y <br />H <br />y <br />��N <br />HOtn <br />� <br />i <br />I �� <br />� �� <br />CITY OF EVERETT <br />6LECTRZCAL WIRING PERMIT APPLICATZON FEG_` � <br />JOD ADDRE55 i �/ L__ �� � � � � <br />+ �, � <br />TENANT �i /i� <br />[�P,OPEAl'Y 047NEA <br />ELECTRICAL CONTRACTOR Jia � �l"L '"Y"� - — <br />l. G : � . <br />CONTRACTOR' S r�oaess / 1J ^. P ,�^r /,� �� ; �^ /i.z-, ir,.i �1 �- �� -� <br />CITY ZIP <br />I.ZCENSG N0. I�Cl'� L!�� <Y L� �°� E:(PIRATION DATE � f�'. � <br />ADMItJISiRATOA �- �I�.�- 5^11rv �: �'v PNONE NO. _y'.___ /______ <br />VALUE OF WOA}: <br />(for commerical wo <br />USE GF AUILDING <br />(do not include t�x.c.�,? <br />NOTE: WAC 296--0G-140 requires that plans for electrical work at educational, <br />institutional or health care facilitics bc arprovr_d i;y the Statc of ���ashin,ton. <br />Applicants with sueh jobs musC show �he Statr af����oved E:lans be:oee a�.'itr <br />of Everett permit will be issue�l. <br />NO:E: Wizing in non dweliinys is requiz�ed to hc in ronduit. <br />WOAK TO BE DONE: <br />�nn rj•,.,� - - <br />—�- <br />A�: �,, l�a��< < <br />� <br />, <br />SIGNED: �GU�1.����' I �[^ �� � <br />J/27/90 <br />JATf;: �- � C <br />
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