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Building Permit Application
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PERMIT APPLICATION FOR Water Heater 'Change-out
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Addo ss; 2-.TU9 bev,,ne Rnad,Fart t' erce,PI 344,J1
Pfoperty Tax U)it- 340 3-513 -0126-t .6
Site'Plan Name- WH'TE,0t 0 0S 36,'5G ' )5.B1 Fr Oi-t- = 468 F T G;:W Ur Pr Ot E I VI 3 It n .
OF LUT 68-L_ESS S 165 FTAN Project Narne,
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lasiall a new 50 pffim electric°Maser heater its ft Levity roam4aundry roam r wf;-s re est twsw elot�
New Electrical Meter � Second Electrical Metet
Adcl tional stork to be performed un-derthis permit check all that ap ly:
_Mechanical _ �(a 5 T4n k ,Gas,Piping i 5huriefs
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Taal Sq.Ft of Coristructiaw sq. Ft- of F-100r:
GWof Consfrvc3iow 1.400 utiiities: Sewer Septic 3Ui4
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NameFaatl't suer-$assEm ar^'e.Greg R
Addre3,s: 7 9 Devine Rwd ni par, a1 #Af')rt,, l
City_ Fort Fierce -� RAW,4�L Address. 7 Oe,.,irw Pow
Zip(Code: 34�1 Fax_ Gti- Fcn!pierce 4,?, t Pf-
Phone NO,772-416-66363 34,R1
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