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Permit # 12007781
Issue Date :		CO Date:	ahart	Cert OccCert ComplAdmin

Description	Input	Date	Who
6th Edition FBC (2017)
INFO NOC-	BK 4975 PG 1918	6/29/2020 2:52:07 PM	khanson
109 HOLD FOR ENERGY FORMS		12/29/2021 2:08:51 PM	jdacosta

Energized

Permit #	Issue Dte	Contractor	EnergDate	Who	TempPoleDate	Who
22004717	7/8/2020 10:43:04 AM	THOMAS, LAWRENCE DAVID			7/10/2020 9:28:48 AM	khart
22111518	12/2/2021 12:54:26 PM	YENCARELLI, DAVID J

Temp c/o Date :	Days :	Who :
Extend Date :	Days :	Who :
Extend Info :
Septic No :	Sewer Co :	Water Type :

St John’s County Building Services - Protecting Life, Health and Property

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