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SS CONTRACTOR (IF ANY) NAME MAILING ADDRESS CITY/STATE/ZIP PHONE (DAY/EVE) LOCATION PERMIT IS FOR: FEES WATER MTR / HOOK UP LEGAL DESCRIPTION: SEWER HOOK UP SITE PLAN PLAN REVIEW NATURE OF WORK TO BE DONE: BUILDING PERMIT TOTAL AMOUNT DUE RECEIPT NO: NEW ADD ALTER REPAIR DEMOLISH INSPECTIONS MOVE OTHER ITEM BUILDING Setback Footing RESIDENTIAL NON-RESIDENTIAL Foundation NO. OF STORIES: Framing NO. OF DWELLING UNITS: Gypsum Board CHANGE OF USE FROM: Final.
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