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l�boxLr�- C ertificate of Occupancy:
Date Approved:
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BUILDING RECORD BUILDING:
Final Inspection
2 ®3 ®75 Permit # 11073 Owner FEES:
Repairs to S/F Dwelling (1500.00) Development Fees
12- -19 - 79 Permit #14409 � 11�7� nn �sStreets Paved Unpaved
Repairs to condemned dwelling —Gr. 55/79 -926 treet Paving Fee
John Holloway ($2,000.) �� �� —�', {} � � c!t Y121 C�s'N UTILITIES
Water Lines
Meter Set
Sewer Lines
Sewer Tap
Storm Sewer
ENGINEERING /PUB. WORKS:
Drainage
Street Paving
Street Name Signs
Street Lights
Maintenance Bond
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OVER
PLIlh9E31IVG ELECTRICAL MECHANICAL
4 -8 -80 Permit #11306 3 -17 -80 Permit #7067 4 -8 -80 Permit #1568
CONTRACTOR CONTRACTOR CONTRACTOR
Owner John Holloway Owner
FIXTURES FIXTURES FIXTURES
Repairs to condemned dwelling 100 amp. service Central heat & air
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INSPECTIONS
ROUGH IN `^
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INSPECTIONS INSPECTIONS
ROUGH IN ROUGH IN
FINAL
FINAL