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Note: <br />Owner <br />AOUSING INSPECTOR HAS A FILE ON TAIS <br />o q o`� o.�., <br />Address <br />Date forwarded to Building: //"' q' 7 <br />Permit Services/Job completed: �C'ren ��S � 5 ��fZ3 GY r2� <br />C�737d ISSUPPi �� /S�_1�7� �-ar Maldr �:f-� — <br />✓Yl R P Q P P_ i� n i <br />►�- <br />Please Fax permit information to Fax: <br />Porm Rev ll/97 <br />� <br />�>�� r,�cr� e Sc`�i � � i� /110; �«y. �P�r.J� -�'���� /� <br />,i — J - 7 � %Y�/'tGN Q�!/(J�i�� /10/L1i�!G �i i%O'lN� .S�KGe � 17��y <br />J l <br />