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P - 77762ORDER FOR PAYMENT NO. C �4 ` �/2t � �� — � �Z_ �c'o4-�%��'�J O Installer of Wiring GI �' �,.� { i� Owner/Occupant � /�c S �- �- �� 2- � �e ' c Job �'�'�`� L'k. `'-�' Property Address �= Y �° �f �ra �4 �h�.c nsti� S � - h� � � zp `i-� j`3 � Date / , 2 � " � �v Permit No. � •3 � 7- � 3� Date Filed O Addftional rough-in inspection was required. O No access - scheduled inspection. � shortage - see computation. O Reinspection fee. Fee Computation: � �, � �, ,_ � � i �' _ - `�� , � L G, , �- /�8L �L �- `�-c� _ . Please return this order with your�� amount of ��'° payable to the city/ township by (date) fal, c K inspector � �� t-� ��-'"'� Telephone � �/ `%) 7 ' 7 �8�� RETURNTHIS ORDER WITH PAYMENTTOTHE CITY/TOWNSHIP WHERETHE JOB IS LOCATED. RC-02