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1 <br /> :,rr�i,rc„�rioN <br /> � <br /> CLi;CTRICAL IVIP.I,�G PEpJ•tiT Ek, <br /> JO& ADDRESS �� ��� �� � � ! )� � // r t� <br /> -_ c� �L/�� . ;l�M1._�l.!_.C,�, (��`!-'L.i' t <br /> USE OF BUILDING /Z�jj � � <br /> PROPERTY O?�NEI� �f�c C_� �/� � <br /> r �.f i. �/it.�/� �.'.i �T��2 GY_>_�-tCi' 9 <br /> �.� <br /> CO�iF2��CTOR.��,�,t�r � . ` ! ' <br /> : : l � i • • . LIC1iNSE N0. ,C. 1 ��! <br /> VALUE OF WORK ' � <br /> (comm. ) �— TEI,EPHo"1E No. _ .�J� �• �'.(i' l <br /> P,ORK TO BE DONE: ' � <br /> �� .'{r�C.��G C), P <br /> _ NESV � ALTERATIOti � <br /> — _ REPAIR REPLACi 4 <br /> — ��I�I�� �—� tvliidBER OF CIRCUZiS �� ` <br /> 12'J�' � 240V � <br /> _ SI;RVICG _ 1�UMBER OF CIRCUITS <br /> — _ 1201' 2401' � <br /> SIZE � <br /> --�_____ AMPS <br /> _ PORCED AIR FURIIACE ; <br /> _ - K.S4. (A1T:CliAXIG�i. PER:•SI; I <br /> ' �, /�/ ; (. J ALSO P��UIRED <br /> �� _._ BASEBOARD TOTAL IdATTS c�i. �� .; � ;',,/ � <br /> i — <br /> • r <br /> � <br /> I <br /> D�SCRIBE A'ORK TO BE DONE � ' ' ' � <br /> , — � .L.!< r'.. i /�- r� .� C � '.��i �;` �. <br /> ��. I ! �_c ._.i� /Z !_�!c__iL( �_ --.- � I <br /> � i <br /> 1 <br /> .._. ._._. I <br /> ��/ � � �� � <br /> � <br /> SIG'.ED I31' � � �_ � , � DATG r�. 7 f <br /> T — ---� / C� <br /> ` - --_� <br /> DO :40T S4RITE BELOW TIIZS LIDIE � ' <br /> _ ' <br /> NOTES S COA9NIENTS � <br /> ":OTAL FEE <br /> ----- _ __ <br /> :e?PROVED DY <br /> �;,�,,. <br /> - ___ <br /> - - -- ---- <br /> FEE SC1?L'^UI,F: n�; -��-•�:'t;;:.a*• � <br /> � Li�l; <br />