1981, 09-29 Permit: 81A-7405 Inspect INSPECTION RFCQRD
OWNER ' -LOCATION
CONTRACTOR TYPE OF WORK
NSEW FINAL INSPECTION: '
SET BACKS
DATE REMARKS: ,
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VALUATION SOURCEOAS ELECTRIC WATER SEWER Cwnndrlp USE CODE
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I hereby certify that I have read and examined this application and have read the NOTICE"provisions included •_"
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,end know the me to he true and correct.All provisions of laws and ordinances governing this - A i .�I!.
type ofwork will be Complied with Whether specified herein or not.The granting of a pvr'nit does not prawn,. Bo1MilW r!..-:,..-,•..'"
to give authority to violate or cancel the provisions of any other state or local law regulating conttrucllon or the :l'
perfnrrrn.,o.of cov,lrvcdon.SEE REVERE.SIDE P00 REQUIRED INEPECTIONE Wumhlne -.p„
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