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F,OR CITY VALIDATION{ ' ~ <br /> Retired by: <br /> <br /> ELECTRICAL PERMIT APPUCATION <br /> PIoa~o complete <br /> <br />I. LOCATION OF IHST~.I-L&TION <br /> <br />Job Address <br />O5, <br /> <br />Cross Sue~Dirccdom: <br /> <br />F CF, NTIS' <br /> 32 <br /> <br />2A. CONTRACTOR mSTALLA'r[ON ONLy <br /> <br />~lcctric~ Com-ac~ <br /> <br />~.00 2 <br />$40.00; .. 2 <br />$8O.0O <br /> <br />Addr~ <br /> <br />Phone~ <br /> <br />P~rty Owne~ <br /> <br />Conu~c~or~ Lic~m~ No. <br /> <br />~ignarurc of Supc~ish~ H~.,i~ <br /> <br />2B. FOR OWNI~r~TIOI~ <br /> <br />NaSa*~ddi~ ~'mch c~ult <br /> <br />535.00 <br />$2.0~ <br /> <br />$4O.OO 2 <br />~0.00' 2 <br /> <br />$40.O0 2 <br /> <br />Prop,4~ Owner (p~ <br /> <br />$35.00 · <br /> <br /> <br />