1980, 03-21 Permit: 80-2403 Inspect •
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS: ;~
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TOTAL SJ�/O°"
Zone Clearance ,6:f-eo ptl a SwanMAHHIRE VALIDATED IN THIS:.�.
B THIS BECOMES A PERMIT.
'() SEN..Checklist DATE oPFICIAL
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