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12044- 11-86 Permit # 20769 Owner General Repairs to 5/F Res ($500) BUILDING RECORD ( OVER ) AOORrSS O W NFR OCCUPANCY � Y A w� ..,` cl,s ; i' r� �t�lc' -� �?�S Certificate of Occupancy: T LCGM, DE5CRWTION - - Date Approved: nUILOING CONTRACTOR a eg s, 9APP, y: TeS O ', Final Inspection FEES: Development Fees Streets Paved Unpaved_ Street Paving Fee UTl LIT #ES: Water Lines Meter Set Sewer Lines Sewer Tap Storm Sewer ENGINEER INGIPUB. WORKS Drainage Street Paving Street Name Signs Street Lights Maintenance Bond