172 ESSEX STREET - BUILDING JACKET _ ,
ins a
UPC 10330
No. 153L
HASTINOS. MN
City of Salem, Mass.
ELECTRICAL DEPARTMENT
,r� s 44 Lafayette Street
pe�umc
PAUL M. TUTTLE ,CITY ELECTRII�CIAN
DATE . . . J� T , Z
To: INSPECTOR OF BUILDINGS
Salem, Mass.
_-_-t �iJ/�iU` ( j/ y' Electrical Contractor
(Signature of A6plicantl
J it-f D r�
-- --/T--- GAJ- -
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has signified their intention of performing the required electrical
work r ���/
rte-'`=/` Street
in conjunction with a Wiring - of sign by.:
s i g Contractor
ISSUED BY _- / _ e_, `T' '-= n `--------------------
This is a requirement, preliminary to the issuance of a permit
for the S 19 n installation by the Inspector of Buildings.
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