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cirr oF e��-r oa�: 6 — a �'o S <br /> ELECTRICFIL WIRING PERMIT APPLICAT+ON <br /> �: <br /> ,,"OB ACORE55 ���J � I�Z�./l�t 'i� . I <br /> I <br /> TENANT ,� � <br /> /G i¢ �%G.�N" `��'S � / � <br /> pRpPE1�TY OWNE-t � <br /> FIECTRICAL CONTRACTOFt �•s � � �^i �/ l'eG ` I <br /> ' '� �;; � E:<P?RATIGN DATE � .3� �� � <br /> L:��.`:SE N0. ICl�/�S �".� 5 .� <br /> ACMINISTRATOR GLI,Q/�w Pi'•�NE N0. .33%��-�S/ <br /> VALUE OF WORK (do not include taxes) <br /> (for ccmmerc'_a.� worul <br /> USE OF BUILDING � G�'�" � <br /> PIpTE; WqC 2°6-�+6-140 reauires that plans for electrical workr at educational, � <br /> institutional or health care facilities be approved by the State af <br /> before a�City A�polEve^ett pe:nituwill C S issued show the State-approved plans <br /> WO�iK TD BE DONE: � - <br /> 0`G�0 A� /�'��'.E' Sp7�'d`ic' .P • — <br /> � ����.' OATE � �-K �I <br /> SIG?JE7 : '�`"�`�"' <br /> riCTc; A�:� CCt�MEVTS: <br /> 5/�C/a7 <br /> 1?�`_!1 <br />