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1986, 05-19 Permit: 0011105 MH
SIGNATURE OF OWNER OR AGENT JOB ADDRESS RD OWNER: ADDRESS: 1,:l./H:i? E RICH P1,0 c,— -.:',---_,If:iNC. w i: -.•i '-..,IY,:"'"i6 CONTRACTOR: HOWELL, HERECT ) ADDRESS: cizy: sr: zip: 16.) PH: LICENSEA: ADDRESS: CITY: ST: ZIP: PARCELA: 0,n9 INSPECT0R: PLATA: U);,:.7.14l...-UU OC;e. fAU FINAL PLAT NAME: ZONE.: ZONE CA OK CG NC R COUNTER AR.Ut PLANS EXAM: USE OF PERMIT: JOS ADDRESS: :0.4 N MAYHEW RD APPLICATION DATE 17, PROJECT# SEQ. : 60 , 77 DATE: :10..:;BILF, HOE 1,'Jf3', FEES: VAs1,51,1 PAID By: CA OK CG NC R COUNTER AR.Ut PLANS EXAM: DATE: MG;TILE HOME PERMIT .roT6LE 00hE..S. t NuW,..:Je 1 Width 11 Lencil:h 46 Heiqh'( 10 +41.1to Lenql.sh4.1-4eight 10 0 5 -1 9 6 2 5 a 1 *1 1, 5ft INSP-ID DATE t7 J 4 o `1A qt) ,i 104 0