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APPLICA '�N FOR ELEC i R1CA' PERIVIIT <br /> � � � <br /> � � H <br /> C:iY CF <br /> � yy `� 2V2Y2�L <br /> K Z n cUILDING DEP?FTF.tEVT ��r <br /> o .y. '�p �cg.88:0 <br /> 'V V1 M <br /> t0 °y � Ecerett, I9A 98201 <br /> o '" Everett Housing Autnority 11p1 Pop1a= � Fno�e <br /> H t�7 O n�� l Atltlress ���% ��p <br /> L] • � nne' <br /> z y Ever=tt Housing Authority 1401 Poplar, Evertt, V7A 9820 <br /> � N y icnanC <br /> nai ��aress �icy cio rhone33S-77�1 <br /> ° Nr+ Sncrtcmish Electric, Inc. P 0 Box '_79, Snchcmish, `r1A 98290 S:]OHOE_110P:•; <br /> R � N �i� ��0 Fhone License < <br /> q Cry r c:eccn cai �oncractar Ma� Aatlre.s Y <br /> d- DIEX <br /> t�q� tA go3� 8E5 16 b�dc= . .oaos..� :�s. or v�lning <br /> HO N �oncra<c n ce oc Aorz <br /> 1310, 1312 1319 1316 La ldin 12 Everett <br /> . ro,+^t Acare:s <br /> remodel <br /> Ducnpc:an or dor•s ia ce Jone: <br /> y93, 865. - 16 = ( �5867 / 3107. 00 <br /> � <br /> Sb7 x 10 = 8. 67 <br /> i � � <br /> r <br /> �� <br /> ' • 'IOiE: '�'AC 295-+6'140 �F•.]UIRE� iHAi PLAt75 FOR '�CiRICAL 'NGRY, di =�CC>i:C�InL� IGS�IiUTICGdI OR 4E4L?H GRE FAC�LITIE� <br /> i ' °E iPP°0'1E7 8Y T4E STni'c OF 'H�15HItlCTOB. dFPLIC��7T5 AITH SuCN JC'c5 1dG5T 5'r:C'�' ;FiE :i:.;"c AfP40':E7 r"L4t75 9E"OR: A <br /> � �_ CITY OF E'dE3EiT P:3MIT 'dILL BE ISSUE7. <br /> � !� 'IOTE: �Nlftl'1G Itl 110t1'7'+IE'=IHGS IS RE:U�RED TO ZE It! CO��DUiT. <br /> I ���� I HERE�V CERTIF'! iHAT I HAVE FlEAD �"!� E:(A"dIHED 7H1S <br /> AFFUCAf�CN APID K4C'N THE SAh1E TO oE TnUE AND CCFFEC`.ALL <br /> FRC`�ISIC?!5 CF U'NS ANC CFCi>���ICES GCVERNiNG iHIS-�FE CF <br /> o_ '!lCFK 'NILL ac r�lAFLE�c'] Pcl^H '7JHE7HE� �T PRE EU�ME TO�'GVE <br /> NCT THE :PANTING CF A P-��.��T DOES NO <br /> �� AUT�GFi�T'! TO `�ICLATE OF7 CANCEL 7HE PROVISiONS OF ANV <br /> pTHE9 5��TE OR LCCAI WW PE�UW i ING CCNS�F7UC i ICN CR iHE <br /> oc�p.Jq�dpNCc CF CCNSSFUC'�CN.THAT I Ttd AUTHCFI"<ED oY'iFE 1 1 S.E'! <br /> C'tINE?, �F ?HIS PFCFE�1'I 70 FE�FCR6� THE Y1CFK FCR 'f/HiC4 Fec _ <br /> ' A'r"'_:CA'�CH IS !.1A�E �Plu 1 COGIPLY ':IITH THE $TAT.c <br /> ��' � C'NTPAC'CFS UY!t02?FC';J A�1D£562G0'lJAC. <br /> �' � (y� � (n I� 9z <br /> �'r � ��QTS 1�� <br /> I �1. — o.,:., <br /> � � � <br /> � � <br /> / z- � <br />.a,�. - ---- -- <br />