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P - 75597, t� ORDER OR PAYMENT NO. �� - - `�v���� � Z�.�7- �,a a�� �RDER �1�1�Y19�fl1` Wiring _ � CJ� �.E'.� ,upe�it ��e � �71•-� � '� `l JOb 1%%f�h�� �P%de. Address 2 �� � �` J�� ,� / � `'�� aP Date Z^ Z— �� Permit No. o��% o/��Z.� D�te Filed ���^� O Add�ional rough-in inspectton was r�quired. O No access - scheduied inspectton. �ee shortage - see computation. 0 Reinspection fee. Fee Computation: �cro J u � 0 2 2ooe �� �� ��d� (> � - c�a Please retum this order i �pr hedc in the amounY of payable to the city/ township by (date) � Inspector �-Ct � Telephone _�,�7• �? % 7 �� RETURNTHIS ORDER WITH PAYMENTTOTHE CITY/TOWNSHIP WHERETHE JOB IS LOCATED. RC-02