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QiY OF EVEAEI": <br />ELECCRIGL HIAItIG PEPHIT APP7.iGT20:1 ����"��� J� <br />��. <br />700 ADDNESS �` �� � ����T <br />TENANT <br />PROPERiY ONNFit V <br />ELECfAIUL CONiMCtO <br />NMfMCfOR'S ADDRESS <br />11���,��1 /3"iZy <br />R ,"7� � rs�y i N �.e', .( c <br />� � � �� �5 ,� 1: .. C -, l— <br />CA'1"_' L� ) O <br />FEE_�i S �- <br />• CITY ZIP <br />LICEN56 N0. �/ il�� �T- ( S"5 ��-�c� /�,���' /l G <br />�L I -EYOIr1.TIOfl o�r <br />AOHINISTAAIOR � �� t' {. �' `"�-� . PRONE l�0. _,• �� / . <. i �� . • <br />VALOE JF 4AP1C (do not Sncludn taxes) <br />(!oz cro�etiul wrk) <br />L� <br />USE OF BUILDINC }�/[ P S� � -q„c..Q __ <br />lATEi iIAC 296-46-140 -equire� that plana 'or e1ncL-!ca'. work et Muca[ianal, <br />lna[S[utianal or heelth caza tatlllGlee be eporcied 6y the SGte al Naehin�ton. <br />Appllcmta vLth such jobe muet ehow the 5[ata app[oved olsna .�fdre e Clty <br />ot Eeeratt permit will be leaued. � <br />NO'LEi Nlsing in non dwalling� le zequiced to be Sn conAulG. <br />H�R2: TO BE OCNE: <br />_ . � �' � � L� �'4'7.�-' .:' ` .' ��/ <br />� <br />SIGNEO� �`�' <br />J/77/90 <br />� [' <br />OA'IE� �_- � ' � <br />