BUP1967-0111 Bldr. ,Address & Phone: , oY �e,. 5 0 ��"' S k— Z 77?
Owner
Location: /3/ 3 S- 6l/, S t Tom. v VALUATION: 2./�
Bldg.Permit#67--, lPl Permit# (D -1 - loS P , `1 ISewer Permit#
BATE FOUNDATION - FIGS. INIT. REMARKS
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PLUMBING:
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FRAME:
SEWER:
FINAL: