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Permit No.~ S ~ ~ `~ `~ r7~ - . _ _
- Dated , 9°l _?--~
Contractor 1'E''r. ~ ,.__ ~ _.._ r
Owner
Address
New Servic ~
Change Serv' a urna a ~~
Temp. Service Electric Sign
Range ~~ Air Conditioner
Water Heate Gas Pumps --
~
Garbage Disposal. Fixture
~-' "
Dishwasher!/ Switches,
Dryer !/' ~ Receptacles .3 r
Fan or Blo er Circuits 1/'
Motors Service Cleared
Date Issued ~•K• to Close . ~
Remarks: --nal Inspection ~ y ~
is i? n
~ ~ ~9 ~~ ~
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