NO PERMIT NUMBER 6'�j E'M P 0 R A R Y E L-C-C DiRiZ-ALTIL il% V I C E
OWNER: .... .
1C4� fEN
AT: --2-06. . A
.................................... ------
LOT: ......
REASON.. ..............
..... ..... .................... ....................
The undersigned agrees to be responsible for the electrical service at the above j()catjol,
until
Je buildit/ig.lis'`ready for occupancy, and is released by the Building Department,
Cit of Cu in
Phone .....
.... .... ....20-Q-------
-!nJM 1/63IN-500 rENAN'r R OWNER
11-C 10