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<br />ELECTRICAL PERMIT <br />Residential <br />CITY OF DECATUR, ILLINOIS <br />INSPECTION DIVISION <br />424-2787 <br />2012-1795 <br />Permit Number: <br />Zoning Abbr:R-3 <br />Commerce Code:NONE <br />Building Use:SINGLE FAMILY-RESID. <br />Work Class: <br />ELECTRICAL RENOVATE <br />LOCATION OF WORK: <br />1165 W Forest Ave <br />APPLICANT: <br />MATTHEWS, JEROME <br />1165 W FOREST AVE <br />DECATUR IL 625222825 <br />WORK DESCRIPTION: <br />new service <br />CONTRACTORS <br />Electrical:Flaugher, Phil <br />$200.00 <br />CONSTRUCTION COST:PERMIT FEE: $45.00 <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 12/26/2012 and is conditional upon <br />strict 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:$35.00 <br />__________________________________________ <br />Fee Due:$10.00 <br />Pay Type:Check <br />Building Inspections Manager <br />(permit is not valid unless signed by the Inspections Supervisor or designee) <br />Receipt #:10139 <br />Application Date:00/00/0000 <br />Issue Date:12/26/2012 <br />Expire Date:3/26/2013 <br />Userid:JCAYMER Customer File Finance Book 12/26/2012 14:19 <br />