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P - 76427�% r---_ __- ORDER FOR PAY NT NO. �`�`�' � v�' � b � �� c�' ` / � ~ �03�.3 �RDER �� Installer of Wiring � f-/A �f' ST.� Z�e 2 wner Occupant Job ,J��'�e� Property Address Date �� /-�YI /� fJ�t C.� 3� Permit No. �^ $�� 76 Date Filed ❑ Additional rough-in inspection was required. ❑ No access - scheduled inspection. ❑ Fee shortage - see computation. (� Reinspection fee. / \ Fee Computation: z�P � S �F3�z_. @� Please return this order with uf check in the amount of �� ' payable to the city/ township by (date) _ ��C � /-�� _/ Inspector /( o�ec� �-`A4j �''-"� Telephone �� %�7"��J RETURNTHIS ORDER WITH PAYMENTTOTHE CITY/TOWNSHIP WHERETHE JOB IS LOCATED. RC-02