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Permit Electrical 2002-10-10
Expimtion Date .,ol,lo~ "'. ':;''''~I'' ' Si(iliht~l~C_of SupcJ-Yisi (J Electrician <"";-- f ...., J. ..~. - --""'''&~~: - ~"". ~i ~ _ ~ ~f ,i~J.~!i.~~ D. Bra~~:v~i~~~~on.of.Extension peS~nel.., >r __ -t'-.\.'~t:'~"';'''\_''''':i''--~'' -.;' ">~'~tl'''i!JOVI'' 1<~~"'~" " 't~J).',"~W~!!ih'1~ ~ . ,.' ~ ~? '"', ~ ,I ~ X' -A..' ,\~;t:rr'~ ...... :J'~ ',-~ ..~~ . OJt:).;{l:-.~v"," ""r't~' $ ~,i ;~~r~,,,:~..,,l.... 1;~".~.:~,:, '_:-:;~r: ..~.. n~}rcult~:- 'b-~~ ~\... -,):_" ..",,:,~\~';-':,.tAi:' '~:t':~'lr~, ~t. .. ,~F!~.:. '':''':.I4'''-4~:~.::' .j~~)Ar.1l u.f\ \'4~>~;:'~"&~ n~ ~,,,,'Q'\. .>,...~"f,"r/t>.~.~'if~: ~~1f! i~"-'; ..: CIty. ..(\Q; jPhonr'.~L.U2\l1J eq,0~Eaclf'Add1l10na\.ClrcUlt or, With ServIce""." . '''ri'- .. '''...... 1;""::~.~~"._:; "'1-' '1.;::'- : ....b,'~~ ~. _"': :;':i:, 'S~~.;).~~I.,~_:- ....\:9\ ~00d'}:Eeed~rIRe}ft;it;\a~Q~~of:\ . '~{$~' oo~;. ~ " .t:'''-' '..,.... ~- ~... ..... " ..~, '-.. "~f '- ~::i\~ ~'i'" ..(~~ ~'-~ O'~ f'>.~\..1/ ~ - ~ ., .,:,~,.;,P:;:OW(>lER INSTALLATION }-t^'i'b:~' N\~ 'l>~O ,,~.' ,~<.~ .i~'" ,"'\'1..,.~{J '.- '~., ~~., '.\' , . '-. ": D~~~;rhe 'installation is being made 9n, ;:'~.'. \ ,'(;~ ~~e';'&~Nr~s'.;ji.~~~ii~~~\~o~~\cpff~~cr not in"l1\i~{I)\<;j~c;}':' .::'",- , _...1, 'J :property I own which is not intended" r- "o~ ,;,o~ ,,1;;)'\' ",'EbchHiistallJltion*" . o'(>,.<:(.\Y.o.\"-.v-. ~o. '~i . . \, " ' __, .' ..' .,. '0" 'l>" n'" 0" ~" \' >t,~" ",~'\~ <.,<,"" \~, , , '-.):':~~;rorsale. lease,?rr~nt.'~~ ~,;~{iil."_ '\ ~\G ~~. ~e.'\ r\~!!2:P^~rjl~~ti6n~-... \;'C-J.' ~S'<~~ _O.OO~. '-",":., .. ",': . . '. ,~';:"'..t....\\OO~<?--~0~1(\ed2~~giilO}ltllOe~la~~~'\~ ~,~\:l $)O.OO~' " . "'. Owners S~gnature;' . " ., . " -: _' . \<' ~~I;;). '$.\~~':I ,o~,\I;in~r.i'f~~ ~~ ~ ~<o~. _ $2~.00 ---: c. c ." " .~.... "-_..~"I.. \j G~ ~e~ c.,'~~l~d!~~~$: ~'\ R)~' _ShOO_ .. '.' .... .,.. <'~~ .. \>(..~ \\\)~ R,<:(.\) 'Q<:(.<(..~ . _ _ . 1 . . , ~,' i\lmlOmm ~n.G~~?':\Ihsl)cct(Qn Fcc l~ S~::.'I,OO + Surcharges .~: ,:,;';' r't>. ,,\)~\' \~~\): \\ ....a.CD ',_-:.',,>~(~; . 4. SUBTOTA~&F ABOVE \\V_d- _' ',' " '.' ...". '. . ',.., ,- 70' St'lte SUI'ch'lr"e \{ ~ ,.._,.'.", :~~~.-..' /0. . Q \- ;~ .; ;;::U, 'j;(;.)i: . ' 8% AdministJ'atire Fee' \3. ":;'.:/i)'A",-:', . o..('\~ , '>.'\;tt~-'..:, TOTAL \U 1~0 . it~~:~. ~~~~,,"!, \}~"5 .~"'~""''i '!&.~.:' ~1\f..e,.' ~~i~t:~{ )~:}~}. I ~~f~!,' ~{~ : 1 . '!;' ~:" ,.., :'. "~c' . . '". ..., " s..... :. ~~ '.." ., ...... ....,