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CITY & 1ilINTINGTON BEAN
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This is to 6ertify that the a+itftbt�r`rci
strider Bii`i(diii Pcr(tiit'No.,.85 and is icieitifiecf as 15b(� PA`iit~ Coat "Nigh�a
x1iH�css
tiur t i�g t'sh `lee " tiil desrrit Gd as H iiht t 4h'''Iiei i h Su' 5. Sp4 t Cento S► Thy'=ta t
ir) tile,buildhig,or�t+n+�c(`l R6he t B616n. at 818 Pine Street Ni r;tit Ott cac
name address �__
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Cot 1iies with 'Hie i)rovioons aws `'C'n`rfrs 'orcfift' aces and tiny fiE t ios 'ti
conditions for the tBe descr"f66d..6titi cW4fie'd `As bil ___ P-2
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z i'��i'PT�1.C'ti'.t`.t CiN . k'`�it C~[�It`I''I'TC1�'1"k� i1' �1C:Ci1PANC.Y tb
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.oeRT Sbi.EN 18`18 P$it�E•'STiirT _ HiIN�ia"o�v $A (,�� 8
N =s C= � x3E5 C>t'�'i'JL""1r Rd it'f . 8 C tes i:dErnr;c' Adtlxess '� 18 P I` � ST C:3 t_ H 'i ' ` "GT14
Phone €�Io . T3f sines �_ Residence : �� �~ .��__.�._._..:7
- -Occupant:'x� cif , � n�j� btzi 1 , i 1 i" roiizbiteci aril a bus Hess . licen8e 1II riot,�a
att1" I'1, '1:. � �}5C
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z �sueci zarst j l t:t��c. bxii_1d�t�� has ��een in,�pc cted and a C'e� t'ificat e of C3c��tzii-i)yc `I
i .i s;Sile_d .
# j 2. va` l.e trical 1, rviciF V_:11 b .ielea- c3 fGY any ex istiiiq'buildirig until the
service has 'booniritI7cct;ed aid certii~ied safe. Al:I appl:i.ccints fbr occ6pancy
{ ' in . an ex.isR:.ifnq bua ldinq axe requi_rcd to scheftle an electrical, ' "ft sE: lip"
-inElt thc`tep1t3 7fGt L2iItie.acr crnax
tinke :1)i_s '101ic.at.io-h i:s fi:Ied
:. C%iA?+'GE , OF .00cUPA�try C}?t i7S IIVSPECTTC�I'1 REF . whenevc) J.t is 'neces8ary to n) kc
%�iiY ci,`i.cirt `of a kith cli i� or t>rem.ise.s in order tr, 'deteYmz: � if a ^h: ge �'inay
he ritade -in"the, c:hai:acter o£ c�ec'iipnt c-�� ox` use rt the -bifilr ing of `I? mi sr's
;1 I�ihich z4=ci_t.f.c1' ��i tree the. biii �e4i;ii{� in a r�i ffereC�L di.vzsi'c�n cif tiic �6�tte `grcilp `of `
c �cru � r.c: r or i 3 ci fc i rit; grcSlip of cac 4p�arlcy , a than of , ccupanc;y
t.rit�}7 t`� c�-n' �'c, 'c)f� ;,,25, ()O �aIla1). be �j-,aid tc: ''��" e City.
C��
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?tilt ) FICE USE O_' T�`I}_ r
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S . ft.. of:--build-Dig. S "� flan Check No.
06ckipEtu.y Group" ` ;* Y(-;rills tic).
.occupant Toad _ �.� _�_ �,ti :Adriii33 Adtior►
hO of or i es: : No. Palckiny SpaC(r S
--- Htsa'lth 'Dept. Approval _<'' d tlt i i ties ea °Re L.ased�r�:�_
�'�1' i�t i i} 8y
cr.,M FICAT3 � OI OCc(�PANCY ; FED $ 5 00
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