1981, 03-16 Permit: 81A-2324 Inspect ( INSPECTION RECORD
ADDRESS
DATE REMARKS
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', EI WORK . .131e �.yg/'nle C e�4it 4✓ /` nersnlPDRI. Location ODE PEES COLLECTED
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I hereby certify that I have reed end examined this application and have reed the"NO;ICE"provision!included // p
On reverie Ilde,end knOW the seine to be True and Correct.All provisions of I«vs anti radinences governing this SWMing .,54,....---
type
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type of work will M compiled with whether specified herein or not.1'he granting of„ucinlir does not presume
to give authority 3o violate or Cancel the provisions of any other Nate or local law ism i.ii q construction or rhe
'n ectPrmance of anstruction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS '`C •^-- Plumbing
DATE OF APPLICATION —..NSNM
—�-2/ SIGNATURE OP APPLICANT .i TI- h.
MDIAI APPROVALS SPECIA`I. CONDITIONS:NAME DATE
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