1001 OLYMPIC AVE (2).pdfPop
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Bldg. set backs front r side ....... 1 side rear ..
Owner . Address...l..e.e .... No
` Build. _...... ... .................... Address1.a't7**`...�..... Tel. ''tT'?�
Plans by. .......... _.... ..: ....... ......... Address... ........ :...... Tel.No .....:: >
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Remarks '
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
works, "
Signed Owner/Agent........
/`........... dress............ Date _
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PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap-
proved plans and specifications, and Building Departm it notations thereon. �` A
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I Valuation . �.._ .. ......... Permit fee ......... Recd. by.. (�. �;.
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Building Department, By ...........r JX Date .l �� '� Vim. i'
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INSPECTION RECORD
Fdn, OK ........ Frame, OK .. ......_..................................... Final, OK:..... ........:......... s
This Permit does not cover Plumbing, Sewer or Electrical installations.
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