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<br />ELECTRICAL PERMIT <br />Commercial <br />CITY OF DECATUR, ILLINOIS <br />INSPECTION DIVISION <br />424-2787 <br />2011-0202 <br />Permit Number: <br />Zoning Abbr:O-1 Census Tract:20.00 <br />Commerce Code:HOSPITALS AND OTHER INSTITUTION <br />Building Use:MEDICAL INSTITUTIONAL <br />Work Class: <br />ELECTRICAL RENOVATE <br />LOCATION OF WORK: <br />1 Memorial Dr <br />APPLICANT: <br />LILLIBRIDGE HEALTH CARE SERVICES INC <br /> <br />WORK DESCRIPTION: <br />renovate/repair <br />CONTRACTORS <br />Electrical:Anderson Electric <br />$2,500.00 <br />CONSTRUCTION COST:PERMIT FEE: $35.00 <br />REQUIRED BY LAW ALL WORK MUST BE INSPECTED PRIOR TO BEING CONCEALED AND UPON COMPLETION <br />OF WORK. <br />The undersigned is the owner _____ authorized agent ____ of the described real property. <br />Signature of Applicant: _____________________________________________________ <br />This permit is issued solely for the purpose set forth in the application approved on 2/22/2011 and is conditional upon strict <br />compliance with provisions of the Zoning Regulations and the Building code now in force. This construction permit is <br />subject to revocation upon any violations of the Zoning Regulations to the Building Code. <br />Credit Memos Used:$0.00 <br />Fee Paid:$0.00 <br />__________________________________________ <br />Fee Due:$35.00 <br />Pay Type: <br />Building Inspections Manager <br />(permit is not valid unless signed by the Inspections Supervisor or designee) <br />Receipt #:FAX <br />Application Date:00/00/0000 <br />Issue Date:2/22/2011 <br />Expire Date:8/21/2011 <br />Userid:RASTEPHECustomer File Finance Book 02/22/2011 14:57 <br />