SULLIVAN N 2420 MFG BUILDING CXT ~ ~ sy
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DEPARTMENTAL REVIEW
Cond.
Approved Approval Hold
Envlronmental Health Permit Number
❑ W. 1101 College -n/h
Room 200
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~ Planning/Zoning
N. 721 Jefterson
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Engineera Permit Number
~ N. 811 Jefferson ~ J•k i • ~ - _
Utilitiea
❑ N. 811 Jefferson
Plan Review/Fire Prevention •
E] N. 811 Jefferson
Otfier (SEPA/CrItical Malerial/stc.) /D-aX SL
❑
~ Faat Track/Speclal Inspection Informatlon '
Project Representative Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true, correct, legal, and binding.
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Owner's signatur'~~ Iz---OlDate $G -
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