1981, 02-13 Permit: 81A-1426 Inspect INSPECTION CORD
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[PLAN NUMRRS I APPLICATION/PERMIT PERMIT NUMBER
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WL�ItlG GOOFS DEPARTMENT I
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APPLICANT: COMPLETE NUMBERED]SPACES__PRESS I I;.,!1)TO MAKE 3 COPIES
JON ADDRESS 1'— _
1' g C rzeg 3is4rl�n.� LEGAL DESCRIPTION-SEE ATTACHED L2• `6200
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VALUFTliNI(Spu R[E I/ OAS 5- SER LA 4) FEES COLLECTED
'T ELECTRIC I WATER SEWER USE COOS
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authority I to or r r ll the specified f'A I flteach, l t presume
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SPECIAL CONDITIONS: 't N,- . Rumping
I.SEE REVERSE SIDE FOR REQUIRED INSPECTION
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SPECIAL APPROVALS M°cP'
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