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1986, 08-27 Permit: 00012857 Reroof
;IGNATURE OF - APPLICATION )WNER OR AGENT co DATE R' ai SI_ JOB ADDRESS PROJECT# '131'I1? IF '10TH AV 77NTOSH ROOFING INC 1619 W APPLEWAY AV COEUR D'AL..I:. NE � 1.1) : 133814 !NIOSH, ROOFING INC OSH ROOFING INC .,00,...N 6TH RSV JOE.UR D'ALE1l.. •. _:.. �14 '00-664-1855 iii<115901. '2544(1938 099900 10022300 . 00TR 003 UT' 3CIMMER'S ADD 'i0 WOODWARD PARK .... AG AGSUD I1 RE -ROOF RESIDENCE �3119E 10TH AV STRUCTURAL. luilding Code Fee IUILDING PRIMARY STRUCTUREI ;E.C'ONDARY STRUCTURES: (111141.'{;,', w..:U H/?7181, 00(11?H",'i'Y DlI I'1 I)1 NG 4`.:. 00 C<u i.ldinn Cade I=e*e, 7=1,.511 ... $b5.50 .... , TOTAL F'E'.E: $1.50 TOTAL_ FEE $54.00 Permit Fee 54.00 08-27-05 4727 *5550 OFFICE COPY INSP-ID DATE 1-1147 - a 0 J 0 O m _ J a — - 2 U