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CONTRACTOR
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PHONE # ? / :: COST $
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FEE $
OWNER
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PLUMBING CONTRACTOR ► V, - --'�" �``" FEE $ 40
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ADDRESS
PHONE #
ELECTRICAL CONTRACTOR, ,��hn �`� �J� �C� FEE $
ADDRESS
PHONE #
MECHANICAL CONTRACTOR FEE $
ADDRESS
PHONE #
SUBDIVISION:
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BLOCK:
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SQUARE FEET: �rJ
MODEL:
OCCUPANCY CLASS:
INSPECTIONS
TYPE DATE OK REJECT BY
MISCELLANEOUS CONTRACTOR FEE $ ENERGY SECT.
ADDRESS
SEPTIC TANK PERMIT NO.
SOIL TEST REQUIREMENTS
FINISHED FLOOR
ELEVATION REQUIREMENTS () CERTIFICATE OF OCCUPANCY
ARCHITECTURAL APPROVAL DATE: ISSUED #
FINAL DATE
DATE:
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THESE PLANS ARE REVIEWED AND CONDITIONALLY
ACCEPTED FOR PERMIT. A PERMIT ISSUED SHALL BE
CONSTRUED TO BE A LICENSE TO PROCEED WITH
THE WORK AND NOT AS AUTHORITY TO VIOLATE_,
CANCEL, ALTER, OR SET' ASIDE ANY OF THE
PROVISIONS OF THE TECHNICAL CODE", NOR SHALL
ISSUANCE OF A PERMIT PREVENT',.;E BUILDING
DEPT FROM THEREAFTER REO UIRING A CORRFC-
TION OF ERRORS ON THE PLANS. CONSTRUCTION
OR OTHER \!IO! )t inr,lc r r. rF c r '•-fc
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