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DEPT. OF BUILDING INSPECTION <br /> ~enator Ruildlng # 225 <br />Ap~l. Rm:d: 220 H~gh ~,, N.E. ~d Flor Permi~ No. 84-1308 <br /> ~lem, O~n 97~1 <br /> <br /> 6Mg. Permit 50,00 <br />~f Yy~s ........ Truss/SHck~ Fee: ( + <br />~i~ W~ Water 40 <br /> <br />~ T~ New <br />Exist. No. <br /> <br />VAUDATJ~: . Suregro: <br /> <br />of ~ o~ ~e O~ina~ Of Mar~n C~n~. ~mit expi~ if ~rk ~t ~d . 1 76.10 <br />~n ~80 ~. I ~r expre~ly warrant ~t I ~ply wlt~ ~e ~ovi~ons of ORS TOTAL FEE, <br /> <br />( ) I am a ~gi~ b~ldee OR ( ) ~e out~rized ( ) The ~ will be ~r~ by a mgis~r~ builder <br /> mprm*~'ve of a mgls~md builder ( <br /> <br />REMARKS: <br /> <br />I have reed this application in it= e~t/~e~nd ce~t~/fy that the stated~ i~m~a~ion is~rue and CO~t <br />S,GNATURE OF APPLICAN~,~~~~~'~~~~~ ~ <br /> PLEASE NOTE: Driveway and sidewalk inspemion; a~ r~ulr~ by Public Works: <br /> Other ~rmits r~ulr~ by this ~e~: Plumbi~ ~ El~tri~l <br /> <br />to the I~$t Of my knowl~je. <br /> <br /> <br />