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<br />CITY OF' ZHlPHYRHIIJIJS PEHMP!l APP1.ICA'1'ION
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<br />WORK PRUP8ED I I]NIlll'l COHSTRUCTION
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<br />A'l"I'ACII (3) SEITS OF BtJIfJlJllm PLANS & (l) BElT flJNEJRGY FORI1S,
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<br />VALUATION OF TOTAL. COtIS'I'RlICTION
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<br />STATHl CERT OR RHJrHS'I' #
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<br />STl\TE CEJRT OR REr~ 1ST 1/
<br />C'rJ'Y PRO(,ES8IHr~ II
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<br />SWNA'!'IJRE
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<br />COr-IPANY
<br />STATE CERTORRiiiiJr ST-"II-'-----------------
<br />CITY PROCESSING # -___h_____._____.__,____.___
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