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NO PERMIT NUMBER
• 1.L �O 1 e 2.DATE RCD 3.TIME RCD. • 4.READY AM ( AN 1 16.TYPE OF 6.AREA 7. INSPT.MADE a PM ( 1 SP FV SI�CT. Q TIME C 7 DAT • 6.AP ROVED 1 9.REMARK DISAPPROVED 1 1 • T • INSPECTOR 480.871 WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE