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CITY OF EGERETT <br />� APPLICnTION <br />ELECTRICAL WIRING PERt4TT <br />I,�� � <br />F i y <br />JOB ADDRESS ��/'� � ov %f-1 P'��/i/Js'JF, ;/ SP,DC�_ _�f D� <br />US� OF BUILDING ���;,o�?�%�IT <br />PROPERTY Oi+iNER �uQ��;? �jcli=n) <br />CONTI2ACTOR �p?D .�L�cT2! C LICENSE N0. � �;-- <br />VALUE OF S40RK (comm. )::i��^so U TELEPHON� NO. ` <br />WORK TO BE DONE: <br />` NEW <br />SVIRING <br />SERVICE _ <br />SIZE <br />FORC�D AIR <br />ALTERATION REPAIR REPLACE <br />NUMBER OF CIRCUITS 12�JV <br />240V <br />NUbIB�R OF CIRCUITS _ 120V 290V <br />Goo �rs <br />FURNACE K.S9. (MECHANICAL PER�fIT <br />ALSO REQUIRED <br />--- BASEROARD TOTAL WATTS <br />DESCRIBE WORK TO B� DONE �Q/��'C2TP ,�e��/UJC <br />SIGNED BY �,� �G!l✓-��0� DATE � I `'7- �� � <br />v <br />DO NOT S4RITE BELOS•7 TIiIS, LINE <br />NOTES & COiSM�NTS <br />TOTI�L P'EE � �J2 , sv <br />APPROVED IIY <br />D71TE <br />F�L•' SCIIL•'DUL� ON ?Z�V�PS� SID� <br />