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• <br /> .�� 9117/07 <br /> RE: Permit # 0: =� . <br /> v 9 ?-e '/ ,,C .. ; r ai l ti' °o , ":h, neer/A tbi <br /> I ��' L _ • , .: uiltliti�; • <br /> • (plmacprint name and 4cle Lie. Tykoj <br /> License #; _� ' t, 7 <br /> f I1•didper OI3 Y' :ct Loo . <br /> On or about (Date &timel) <br /> deck nailin' an <br /> _ d/or seconda� t' wa ter_.barrier _ work at _ <br /> (circle dire) <br /> . (Job Site Address) <br /> • o ' 'S i .� ic.0 R. , 3)J 2. .. O • . ; - >1ady�tdi� to the • <br /> that amina d e ter: ;o ation was •done g <br /> .�� ;� tldril.� have <br /> fro ased;vrl.553:.8 P S.) <br /> •Humcane'Mt _ .�; . fifMatnla� `fB <br /> . <br /> Signature . <br /> STATE' OF FLORID . <br /> - COUNTY OF .240 <br /> • oru: d subscribe before mee •this:.` day. of . <br /> By - : lic, State of Florida <br /> Ota iy da <br /> ` <br /> Notary Public, SMie •of / . . ' <br /> W(y caret eacp. Much 22, 2013. ∎ . coidptw, :1Nsreh - + • n <br /> Comm 140 DD172975 • .conwn..140.1 75. • • <br /> Personally kmwll _ r.. . , . • <br /> Produced- Idtti�itcation <br /> Type: offdentifcationpzoi e , <br /> photogrephs.of=Address* . . <br /> .u� g ;: ed Under 468 PS . to make such me . <br /> "� General, $�ldiag, Rcsidmtial;�Ut�bottimR �oosddt`�y'ia ., <br /> • •iaspection. lac1 de : eaob•ptene of the 4�oof With:hq: rtnat 1 clearly: shown marked• on :e c . <br /> . deck for;goal inspection. <br /> • <br />