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P - 77763ORDER FOR PAYMENT NO. �- � � ^ n'` �1 � � � �`� �✓�j .!" �j 1 � - � 3y7 �^ � �u � � Installer of Wiring ��-rl��'� Owner/Occupant �A• s°'Vi �'�""'► ��- — Job ��`�` �"'� Property Address °�� / �` � � � �``��"' K � �- ' Zip Date F^ ($� ^ aJ� PermR No. �Od �<6 �� 7� Date Filed 9' �l– �°% O Additional rough-in inspection was required. O No access - scheduled inspection. � Fee shortage - see computation. (� Reinspection fee. / \ Fee Computation: C i'C "� �7 c�_. Please retum this order vy��rjqur chedc in the amount of O�- G� payable to the city/ township by (date) (, '�� Inspector c �� .r� Telephone � ��' %� T 7 � � RETURNTHIS ORDER WITH PAYMENTTOTHE CITY/TOWNSHIP WHERETHE JOB IS LOCATED. RC-02