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08-7337
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08-7337
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Last modified
3/6/2009 4:48:09 PM
Creation date
4/30/2008 9:04:12 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
08-7337
Building Department - Name
K-MART
Address
7422 GALL BV
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<br />~~-~-C~~( ll:~~ <br /> <br />10.4 <br /> <br />~iE2 <br />OCT. 31. 2007 1:33PM HAN)VER EXCESS! NO. 0570 P. 1 <br /> <br />Al;DRQ. CEATlFICA1'E OF LiABILITY INSURAkce . [~tI3,,=" <br />~ )1 - ; j 1MI8Q'-....Aft..IliSUIiDMAllAnERDPlNli:ORIlA11ON <br />""""r been I au",. ' , ONLY AND ~ 110.....,.. UPON ntE CI!IIT~lI <br />Ir.... · 'I)'.,." . : ttOI.DJ!A. THIs ammPIG&W DOES HOT... el'ft!ND OR <br />,... 'lUll : ALlI!RTIE~I!AFFORDED rrTHEIIOQCIISHLoW. <br />III. j lilt.... 10 .... <br /> <br />"lUllED <br /> <br />FAeTGllY ".CT r.llURE: <br />, 0 III 4174 <br />HIGH POIIT, Ie 17_ <br /> <br />INIUR!RS AFF <br />.......~ I <br />.....1: I <br />........~ <br />INIVIlIiRD. <br />...... <br /> <br /> <br />MAle , <br /> <br /> <br />CoveRAGES <br />lHl POUClca OF INSUfWq L11T1D ~~, 'E IIIiiN "IU!D;'IIS 'nE INlQED NoWEI)o1I8OW FOIt mE POUCY JIUI~ tNDlCMTIIl. NCr"""'NtDlNG <br />NtNAEOUJArMiNt, TIIW OR 00NDm0H DI; IW' DClNrIUDrOA;oTHMOOCClliNf M1NAESPfcrTO WNlCHTNI emu.lCAfI *VNIIlUEO OR <br />..-V PEAT~.1. TNt! INIlUIUINCEAFFOADID 1Wn; !: "Cl.Iaes g~_.-eN IS SUBJ&CJrTO AU. TIE ~ EIla.UIION1 AND Clt.lOOIlCllWe C)lIIUCH <br />flOUOlll. _Rmot1E UMlT8IHOWN aMY HAW 81!1!tl NlDUOID I\' 'AID C1AIM6, , <br />-.:w_: UWtI <br />. <br />. <br />. <br /> <br />ClININLUMaIIY I <br />X ~"I8IBW.UNlIU1Y CL..,.. m. <br />CiNlfeI4AD6 m oocu ; <br /> <br />01/05/2801 <br /> <br /> <br />s <br /> <br /> <br />A <br /> <br />8O.0Ot <br />5000 <br />. 000 oao <br />,.- <br />3.100.000 <br /> <br />. <br />. <br /> <br />~.."LMT <br />(1& -... <br /> <br />. <br /> <br />lIODl.TlIIUUlI!f <br />....-.. <br /> <br />. <br /> <br />lKIIIll. TIIIUUAII <br />II'- ...... <br /> <br />. <br /> <br />....,...., IMIlll1l115 <br />lPW-... <br /> <br />. <br /> <br />DIll&lCYIU <br />llEI!NrIGII I <br />.....11II_-- <br />~LI4lIUlT <br />=~~ <br />. ..... "'lit <br />...... <br /> <br /> <br />0'nlIiJI TIM <br />AIIIO 0Nl.. "l'; <br /> <br />IACMClCCUAIlIillC; <br />......~ <br /> <br /> <br />..... <br /> <br />UMIf . <br /> <br />oe~ OPONM1I_'UICA1DIIIWHllI.Ea/l:*&. ......"..~~I.. l" IUElAL~ <br />AtD'TIOIW. '1lSUIIEI: mIQ ....'F"9"T ~Jft' ,721 CGII8/lD -1BI1JIElT ....IALA nmD.tA ttCI04 . <br /> <br />CERl1FICATE HOLDIR <br />IIAIT <br />TGI! MIL av. <br /> <br />ZEPIIIUUJ. FL 11I41 <br /> <br />CANc:&LATION <br />1MCIIU1fM/I"__~ ........"......,...... <br />..........,........--WlLRllU1IC.1V... -!!... ........,.. <br />1IIlnIClE1011E~~_.,..~.1Ur~...__1IW..l <br />-IIOCIeUM1IIN"'~. U1_....r~".___.DA <br />.,- ,...... ~ <br />6&tIHlWIID......... ' <br />~ '-- <br /> <br />ClAC::OIID CORPDR"11ON 1.' <br /> <br />f~OIP-II74 '. <br />a~ , \ - :71.l!L.t! <br />ACORD 2S ~IOI) <br />
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