Sprague E 13524 Retail Bldg Addition
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(THIS IS NOT A PERMIT)
BUILDING PERMIT APPLICATiON WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPLETE IN INK -
(Please return this original and your building pians to the Qepartment of Building and Sefety)
SHADED AREAS ARE FOR OEPAATMENTAL USE ~PmIW Number
OwRer'e NBtRS LAST FIR6T MI
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con Ucenae Numoer (Reciulre0) Business P1orte
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Anesm Paraef Number
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DEPARTNIENTAL REVIEW
~ AAProved Cond Hald '
appror+aC
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~ Emrlranmerrtal Heelth Applicatton 0
W.1i01 College
Roorn 200
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Fas! TricktSpeclal 1nspectlDn Intorimailan
Pruject peprnantatlre Phons
Address
i certffy that I hsve examined this applicatian artd stale ihat the In#orrn$#lon r,ontalned in 11 and submitted
by me or my agent to campila sald applicati ~f$ true ertd carr~eo
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