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� <br /> �;�;�:_�� _ .. <br /> h;y CITY GF cVERE7T DAT=: �� Gf:' � C� <br /> ,a�xf x — <br /> 9Hf� ELECTRICAL WIRING FE3tMIT AFFLIC�,TION r�-: <br /> � <br /> o H o :,oe aocR�ss �I 7 � 'u r� � ��iZ �i:�,� ; �� ----- <br /> � 7,r' 7ENFNT _�V ? f�i� � L� I �� <br /> � '�d FRGP�TY OWrER ��t�Y� � <br /> �h o ELECTRICAL CONTRACTOR ��1) G�i i�P �-IT��.__�,�� L�l�� c� ��' - - <br /> r+ r� ' �=--------`� <br /> r, y� cLEC. CONTRP.CTGR'� MA�LiNG ACCr�E�.: _ <br /> H h <br /> b ��' L_C�NSE N0. - EXF�A-=�N DA?c <br /> � dt�n � t� � �,-=G�_�? . <br /> � [�� ACMINI57RATCR PHO�c N0. ��:�Ir' `- <br /> z �3 rn <br /> y o� VALU� pF ',yGRY. (ac not incluce taxesl <br /> (i0L COffllfiET.Cl'a� WCiK) <br /> USc C= SLiLDING _ <br /> �JuIG: �NAC 296-aL-140 =ecuires Lf1'c� a:o(1� iC: 2��C`�.L1Ce! bC:f dt 2dUCa't1011'a�� <br /> "" �� institutie�ai or ne=lth care fac'_1'_t:=s be approvec by the State or <br /> +�"^� Wasninaton. Applicants with SUCh JChS .CUSt ShOw l:hE Stzte-approvec plar.s <br /> oefore � City or Ever=tt permi� will Ce issued. <br /> �� �j <br /> : '� 1YORK l0 EE DO�: - <br /> � '�.� —�'1— I�� 1� O �. V-�\L� �Ci(1t� � IZ _ \ c� l L, I <br /> :� <br /> ���, � <br /> 6 = _g <br /> ��� <br /> / � _<, ��� � ��: - �, c. <br /> s:.cNE�� , >.,�_ �. �— __ - -' � <br /> 7- <br /> NOTGJ AtdD CC?'�'=?ITS: <br />