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R~ccivcd By:, <br /> <br />Orl',eel pbo~ SSS.sI4? I:OOam · 4:~Opm <br /> <br />ELECTRICAL PERMIT APPUCATION <br />Please complete all Sections, I through 5 <br /> <br />I. LOCATION OF INSTALL&TION <br /> <br /> Jo,, ~D~s .//~ ~ ~ ~oZ~tZ~,.~.~,~.~ r. <br /> crrY <br /> <br /> ~'/. <br /> <br /> ST~ ~ ~ DAYS ~ lSS~ OR · <br /> WO~ ~ SUS~ ~R t~ DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br /> S <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />Mmon County d~ no~ r~uir~ a ~lan <br /> We will Cro~ide plan review ~i~ if you complem <br /> S,cdon 5B and ~ubmit Iwo,(2) ~t~ of pl~ and <br /> s~ifications wi~ this a~dcatiou, <br /> <br />PERM~ NO: <br /> <br />Date: <br /> <br />l,~sued by:, <br /> <br />4. FEE SCHEDULE (c.~,~ ,,~ ~ ~ u, .~1 ~,,,) <br /> ~x ~mha~ <br /> <br />Co~ (~h) Sum / <br /> <br />Ul. ~ x $.G68 - <br /> <br /> <br />