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1986, 10-29 Permit 00013175 Inspect
• 3 • r 4, - ^ S|GNATUHEQF - - OWNER URAGENT JOB ADDRESS =~" USE °, .="=,. JOB ADDRESS: `°`^BLOCK Is. nuilding Code Fee ,UILDIMG Valuation; Corr ^"~ A. STRUCTURAL 6696 """~`""~""' ' - .#ofFloors 01 # of Bedrooms 000 # of N 0nn nInoR/ STRUCTURE: »«*� Desci GARAGE Croop� M 1 T Go -Ft 4�? n,,..,.-. . ~- ype: VN BECONDARY �--U~^`"�~"�y �nao Rate 8.00 °." C/up�o: APPLICATION DATE DATE' PLANS EXAM: MlAL FEi TOTAL FEE Permit Fee = PROJEC "" ~" ~= INSPECTOR'S m�r��/��,S Copy