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P - 77676ORDER FOR PAYMENT NO. ,� -� �, C� cr_�'- Cs I �i,5 � Installer of Wiring ��-� M c/� Owner/Occupant �' ��'.� l � �'-E 1�'r`� 7�' Job �t�d �r ?^ �'� �tis Properry Address Date /�^ ^ �� • C� 0 zp rS�3 z Permit No. �'3 �'% SC � Date Filed l� ' L'`'' � ❑ Additional rough-in inspection was required. O No access - scheduled inspection. �shortage - see computation. O Reinspection fee. Fee Computation: c �� o� ��.. � l,� u rr � � �l (�4�1�u��tSi�� :.< /�i� - �,��d C�, �z,�i • ,Ss �f 3 � r�k � e � *'�j.�D'3 Please retum this order wfth your ch �j�te amount of /�' payable to the city/ township by (date) /)-S�- (1�s:i Inspector V 4��-r�'t �l�tc 3�-- Telephone l��/- J%% 7�� RETURNTHIS ORDER WITH PAYMENTTOTHE CITY/TOWNSHIP WHERETHE JOB IS LOCATED. RC-02