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1986, 08-11 Permit: 00012487 ReroofSEQ. *: DATE: 11' SIGNATURE OF APPLICATION OWNER OR AGENT DATE JOB ADDRESS PROJEC ;,{Ipiidinq Code Fee 3 JILDINO ''i iMARY STRUCTURE: ;E CONDARY STRUCTURE:, STRUCTURAL FEES: BY: G NC COUNTER APP: PLANS EXAM: DATE IAlOric' -retrif[+ rsinv TOTAL... FEE fO T AI. FEE Permit Fee $7P.00 72.00 0 OWNER: ADDRESS: • CITY: 5T: ZIP: APPLICANT: CONTRACTOR: ADDRESS: CITY: ST: ZIP: PH: LICENSE.: ARCH/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL.: CENSUS TR: INSPECTOR: PLAT.: LOT & BLOCK FINAL PLAT NAME: r ZONE.: !ZONE I FSB S-1 5-2 RSB MOO USE OF PERMIT: JOB ADDRESS: L 1 ;,{Ipiidinq Code Fee 3 JILDINO ''i iMARY STRUCTURE: ;E CONDARY STRUCTURE:, STRUCTURAL FEES: BY: G NC COUNTER APP: PLANS EXAM: DATE IAlOric' -retrif[+ rsinv TOTAL... FEE fO T AI. FEE Permit Fee $7P.00 72.00 0 murgriA mumummo wirdilamillri 111111111111111111111111111111111 1M I. MENIFINAMEMEI I MINEIMMIMEIMMIMMIIIIM 1111 Mai OEM= WIIMIN ME MEIN al= alill ram mim RINI II illE1 am me. Milmumm M. mmaimum Elamom mEn.,..1 mum mum= .....mmuni. EANE Mamommwmam maNIME um um Ni. mumumio m immum mum Imiaminim.= Ei Wm = MI'm al MI 11111 IIM 1111111 ailli ,m MIN WW 11111. 111.11 NMI NMI =IMII Mil allin Ila IIIIIII MI MINNI 11111111111111111 MN NIIIIIMINN 111111111111111111111NININIIIIIM . ...1.. ==.... -.0 ..... rassrmadma-- ram:- .... ... ,.......... .......... ... .... 1-mmoi. ............ -I. m6.011LLrommE ...........111111111111111111111101 MINI MONO6NENAMEMMEINE Maw-nimarem 0.--mimmiormm m riil 11111111111111111=111111111 MIIIIIINNIN ROJECT FINAL 1