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<br /> I:GNUTAI CUNTH/\CTOR
<br /> M'AIL AUUflkS$ PIIONE
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<br /> PWh1UING CONTHA�TUN
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<br /> VALUAt1pNUfYJpR1; Ti'n� `� ❑NCW ❑��OITIUN ❑ALILHl�fI�1N ❑IiLPAilI L[ C 9i':��1-' .
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<br /> DESCi11U[WORK
<br /> rno����E til ,r � . �� �":- ��_ t i l71;i/i�(�(c"t� :t:� .-: � - . i
<br /> 9 1-r x 6 c!/. _)�1'i.'i�
<br /> ' -�' OTHER PERMITS OR APpROVAIS
<br /> ��c-�1-�'�. J� Ai��ii � �l i� �,-� �iL'fi �
<br /> LLGnL UL':f.fUP71pN OF {flOf F{iTY ISHOw UFLOW OR qTTACH � RE ZON E � SP[CIAL USE
<br /> Fo4n cov�E,�
<br /> Lor-,LS c�ec:��c �i, T-/.'r ,�_�4��.t% � VARIANCE � SF'ORUNE
<br /> `� _� � SE PA CHC:CK LIST REQUIRED
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<br /> �, � T A ���r 1'E �MECHANICAL
<br /> �FLUMDING �� " ^ -- � . "
<br /> �_^�� i _�_ j TYPE OF CNLNGY
<br /> I . ' � ❑t:AS mCLFC.
<br /> � .. - � ND. - __ .. .__ ._'___ '.
<br /> • TYP[OF EOU17h7CNT -t FEE •
<br /> A��CONO. VNITS-11.1`. EA. -t5 �
<br /> """ _
<br /> N0. TYPE OF FIX1'URE OR ITEfA FLE q�(NIGlRATION UNtfS H N. E4. _- - '--�--
<br /> � _NAIH llltlti 5
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<br /> SUIiI:OTAL —�—r__ _"__'-_._'— ___"._""' _"_ "___�
<br /> � _. "'_' " 1f1TAl !! k 5 ' I
<br /> P61i�diT 5 TIItS 1'61R.tIT ULCOh1Ey NUI 1 l�hp vqlll II 1Vf1i11: Illt Cf�N5TI1l:L'
<br /> TOTAL FEE t —�. TION AVfUpqIlGD I: NOi f.U\IAI�N[�(� �yi}��I'J 1?0 L`A�'�:, pq iF
<br /> LVI�TCR $CRVICE $IZE CUNSTIIUCfIpN OR \Yp1Ut 1!{ $U:U'F NpCn O11 AfII�NOONLIt Fpli A
<br /> ap¢���. g�� BlD(�i $UPPLV $176 PC11100U{� 1:0DAY$ ATANY IIry1F AliCfi\VOI:1� 1!:Cf�•.1..�f�NCEU
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