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ADD REBS
OWNER
OCCUPANCY
126 Hazel Bl
r
Certific of Occupancy A
LEGAL DESCRIPTION
10 20 - 30 - 509 - 00000 - 0170 - 0 - 4 Lot #
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17 Hazel Glen
Date Approved: 9 —a( 1R" ly
BUILDING CONTRACTOR
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Reg's. Apply: Yes No
5 -26 -88 Permit # 22663
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BUILDING RECORD
BUILDING:
Willaim Miller
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Final Inspection
Erect S/F Res
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FEES: a4706
($33,028
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Development Fees
11 -15 -89 Permit# 24451
Streets Paved Unpaved
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Owner - A- 0- k -A(A)
-35 -
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Street Paving Fee
Erect 6' Wooden Fence
UTILITIES:
($384)
Water Lines
Meter Set
Sewer Lines
Sewer Tap
Storm Sewer
ENGINEERINGIPUB, WORKS:
Drainage
Street Paving
Street Name Signs
Street Lights
[OVER]
Maintenance Bond
PLUMBING ELECTRICAL MECHANICAL
6 -3 -88 Permit # 2542 6 -3 -88 Permit # 12133 6 -3 -88 Permit # 4632
CONTRACTOR CONTRACTOR CONTRACTOR
Gomez Plumbing Prestige Electric Ken's Air
FIXTURES FIXTURES FIXTURES
One Water Closet 101 -200 amp service Install Heat & Air
Additional Water closet
INSPECTIONS
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INSPECTIONS
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