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� / � <br />CITY OF [V�ETT DATE: <br />ELEC'iRICAL WIRING PQ�MZT APPLICA7ION FEE: �_ <br />J00 ADDRESS � 2 D E✓L4'LE'�r M R-�-�- W y ' <br />1ENANT A-GcEti� �n� CorNS cE �SEcuI�T"`� <br />FROPEATY OWNGR %� A'�� ���R <br />EZECTRICAL CONIRACTOR� 2(2�t N�eIJ INL <br />LICENSE N0. �L�F(Z� �lr ��"�1 DC, EXPIRATION DATE 2-28—i� • <br />A�MINISTRATOR ��'"��� i'+'�%�� PHONE N0. %76 � 8 B3S' <br />VALUE OF WORK � 7 �� (do not includc taxes) <br />(for'cortmercia work '. <br />USE OF DUILDING �+MM (��t �-- � - <br />�T�� instit ti nal40orc h alth carc pfacilitics e ba e approved r bya�thedu5tatcnaof <br />bcfore9a�City AoP Evcrel-L permit will bc issucd, how thc Statc-approved plans <br />WORK TO �E DONE: <br />D gu � i <br />a <br />. ,U = <br />� �� • DATE II "' 3 -�9 ' <br />SIGNED : <br />NOTES AND COMNENTS: � , <br />z <br />G/10/07 <br />192DIi <br />,: ; ;, <br />, . r'�:;.- �... . <br />,, <br />�'t:�', ,:;':� <br />-}.,'�� (�i.A,: �,�. . <br />i_ <br />