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1986, 10-31 Permit 00013833 Inspect
SIGNATURE OF APPLICATION OWNER OR AGENT DATE JOB ADDRESS .°N"". ~""^C""' ""~. =` APPLICANT: - ""°`"^"`°= ^"=""°"' ' ' ".``. = `.,.` ,". ""="="O. ^"""/=°"=""= °""""=' "'`,' ST; ZI"' ,^,""`~' |""°"pS `": | " '"""ECT""' ,"T.. LOT*"LOC" . ` FINAL ""^`°^"= =°°E~' ="rC =" "'` "'" ""^ ""= ^ USE OF """=T! ="^=°"=CDURTLAND AV PROJEM -it $10 1.50 c,' " = " COUNTER APP: ;'. PLANS EXAM: MUB'ILE HOME PERMI� ^v�ILE HOMES ilake Serial # Nomber 1 Wid-th 10 Lenqth 50 Height 10 Wu*her 2 Width 10 Leng-th 50 HeighT 10 �zsc Desc : SURCHARGE TOTAL FEE $101.50 Fee 100.00 M i s c: Fee 1.50 INSPECTOR'S COPY INSP-ID yfiik" DATE 1 ^ W A ' 2 %�'� • az