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� <br /> , <br /> � � <br /> INSPECTION REQUEST FO �� — � <br /> FIRE REPAIR PERMIT U�� ��`��� ` 1" "� <br /> yy�ovC �Ro.-v� � <br /> PROJECT SITE ADDRESS I Z 1 G2. �I�~ A.oc -P-K '— <br /> OWNER/AGENi_ S• L Ce�iiS�R� PHONE <br /> CONTACT ` �� '� PHONE 3'iFi-3a�ll <br /> INSPECTOR ASSIGNED �TCO d�OUCK DATE 2-���-i -R$ <br /> To 'oe fiiled out ov the IN�PECTOR <br /> [ j Annrove without nlans, work �.s minor. <br /> � AnnlicanT m st s omit�lp`,l-.an,s�for ne��si: annroval . • ,,, //n /�� <br /> � ttt� -t _�� ��G<�G�+^�-�' .�Kw��,��....Li '�"'r'�����"�`-R. �o�.. <br /> sti at he e cent oP Structure D3lnagea <br /> Commeats SEC ���nr��c-c� � <br /> =NS2?CTOR u� DATE Z-zy-HB <br /> To be fiiled out bv the PLAIdS EXAMI:IER, i� pians are reaui:ed <br /> [ ] Aonlicant notifiefl olans reauired oer submittai re�uirements . <br /> [ ] �evision/A:idition i2eauest sheet is attacned. <br /> Notiried by DATE <br /> [ ] This oermit is annroved for issuance. Date SIG• <br /> � r.�. <br /> Conditions of Annroval <br /> � , m:e Structure must be restor.ed to tne �riginai configuration. <br /> I [ 1 All woric is to be d�ne in ccnformance with tne requirements of <br /> ap�iicable codes and reguiaYions inclucing tne Uniform Building ,� <br /> Code ���sland,�.�� <br /> —[ 1 <br /> fl These conditions must oe tyoe3 on the Dermit . <br /> Building Division Plans E::amine; <br />