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1984, 05-03 Permit: 00000515 Furnace
If • • SIGNATURE OF I. APPLICATION OWNER OR AGENT DATE JOB .GORE,,: S • 714 1+ou1‘‘ OWNeF 51EV . IBLAGK CITY: ,T: ZIP: RIICl PAV1D 01J CONTRECTO7 .To ADORE 1E324 N . A411 TY. 6PoKANg .T'GoA =,.: lg20I PH LICENSER: ARCN,ENG:Neea: ADDRESS: CITY: ,T: ZIP: - PARCEL*. CEM,V, TR: INSPECTOR: PLATE. LOT & BLOCK FINAL PLAT Name: ZONES: ZONe PEE S-, ,-Z RSG NOD ,E OF PERMIT. r/A ca �fUJACE--Jos soostess. ,EO DATO: `RO0 Os: 515 PE st PAID e c CG NC COUNTER RPP PLA 0 5µ 0 3.1 8!`4 5 Of 395:7-'Z *20,'00.6 OFFICE COPY