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Electrical Permit Application Date: Related Building Permit # (if applicable): Job Site Address, Parcel ID # or Legal Description: Owner Name, Address, Phone: Contractor Name1, Address: LIC #: 1 Contractor
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Contractor name1 address refers to the physical location or mailing address of the contractor named as contractor name1.
The contractor whose name is listed as contractor name1 in the documentation or contract is required to file their address.
Fill out the address fields with the accurate and up-to-date physical location or mailing address of contractor name1.
The purpose of contractor name1 address is to provide a means of contact and identification for the contractor named as contractor name1.
The information required to be reported on contractor name1 address includes the complete physical location or mailing address.
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