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OWNFR
OCCUPANCY
321 Mangoustine Avenue
Triple County Medical Center
Certificate of Occupancy:
t FGAL OESCRIPTIONT e N 118
of W of--LoLo 6 & o W 221 of
Date Approved:
Lot 7, all being in Blk
X, FL Land & Colono Map of St Gertrude Add'n, PB 1, Pg 113
RuiLDING CONTRACTOR
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BUILDIN
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BUILDING RECORD
Final inspection
FEES:
12 -20 -83 Permit ##19530
!ti `S-'> { X10 L &0,
Development Fees
Melweb Signs
, h j
Streets Paved Unpaved
Erect 40 s ft. Ground
q'
Sign
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Street Paving Fee
(2,800)
UTILITIES:
Water Lines
Meter Set
Sewer Lines
Sewer Tap
Storm Sewer
ENGINEERING /PUB. WORKS:
Drainage
Street Paving
Street Name Signs
Street Lights
Maintenance Bond
.... ........ ( oVER )
CONTRACTOR
FIXTURES
PLUMBING
ELECTRICAL II MECHANICAL
CONTRACTOR 11 CONTRACTOR
FIXTURES
FIXTURFS
INSPECTIONS INSPECTIONS g k y } INSPECTIONS / �S
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FINAL e FINAL