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Building Permit # 12209781

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Issue Dt

Cert Occ - 4/5/2023 9:37:10 AM

Assoc	CashOut OT	Paid	Due
BL		735.9500	0
CS		176.0000	0
IF		9641.0000	0
LG		378.9600	0

R2022-003974

Proj Addr:

City :

State :

ZIP :

Prop Use :

Master:

BOLEN, CHARLES PHILIP

Priv Provider #

KUSHNER, RICHARD G

BL EL PL ME

Bldg/Unt/Stry :

Valuation :

Sqr Ft :

Plan Rvwr :

Occupancy Class :

Construction Type :

OccLoad :

Fire Sprinkler :

PermitNo	Notes	Date/User
42212115	New install AC	8/18/2022 1:26:53 PM * kcooper

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