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<br />DEMOLITION APPLICATION <br />Commercial <br />CITY OF DECATUR, ILLINOIS <br />INSPECTION DIVISION <br />424-2787 <br />2011-1792 <br />Permit Number: <br />Zoning Abbr:M-1 <br />Commerce Code:DEMOLITIONS -ALL OTHER BUILDINGS <br />Building Use:BUSINESS <br />Work Class: <br />DEMOLITION <br />LOCATION OF WORK: <br />2965 N Martin Luther King Jr Dr <br />APPLICANT: <br />JACKSON FORD <br />455 E PERSHING RD <br />DECATUR IL 62526 <br />WORK DESCRIPTION: <br />demolish bldg, haul away debris <br />CONTRACTORS <br />Demolition:Steves Trucking <br />$5,250.00 <br />CONSTRUCTION COST:PERMIT FEE: $0.00 <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 DOCUMENT IS AN APPLICATION ONLY AND DOES NOT CONSTITUTE AUTHORIZATION FOR WORK TO <br />BEGIN. <br />Credit Memos Used:$0.00 <br />Fee Paid:$0.00 <br />__________________________________________ <br />Fee Due:$0.00 <br />Pay Type: <br />Building Inspections Manager <br />(permit is not valid unless signed by the Inspections Supervisor or designee) <br />Receipt #: <br />Application Date:11/29/2011 <br />Issue Date: <br />Expire Date:6/16/2012 <br />Userid:RASTEPHECustomer File Finance Book 11/29/2011 16:01 <br />