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1iOot1 CORCR£TE F{EtQPLACE 316MS ORAI#Aa6 PIPING ? •,
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;t 6STIA{ATEO VALUATION PWRIT FEE - ARIT FEE. 1 --•-
AML;+�i�CX 6Y' PLANS ChECKED OT 01 PLAN$ CNECREO IT Ed•
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PLAN CHECK FES
= USE OF PERMIT SUPPLImi.NT TO PERMIT
CONSTA0010141 HE 1-,0F•/L
DISTRICT CoOC AREA! F C UNIT! VALUATION O?fICF PERMIT NUMBER
!LEMICAL FEB T�3s' 1 ��, �= 141853
f DESCRIPTIVE ADDRESS 'R' PERMIT NO.
PLUMBING FEE
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CASH CHECK M O N.C. GROUP TYPE FIRE TONE I Roos 1 1.1111%NAP ►ACR I1.1111% RELEASE 50110
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t�tzr O�UCU1710 Ri11r1o� A'i 01 WORK FON 12O DAY! SHALL ALSO CAYYL PERMIT TO AR.GONE VOID.
DRlliib8l b8 p00U3i LG !11AA 1000 all,, 1 N[N[NT ALASC THAT GSL NON[ HI CONNECTION WITH THIS PERMIT WILL BE 0011E IN ACCOROANCR WITN TNL
"n Am Ao uol;aad9ul Icuu ai !Oil I LATICS OF RIViIS10[ COUNTY AMO THE STATE 01 CALIFORNIA. I ALSO AGREE TO CANNY COY►NNSATIOR INSULA•
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LATH INT.
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Prior to final tnspeotion or any usl.
the Pool wig be fenced as required
by Counly Ordinance 421.1 :;�;
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