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Commercial BUILDING PERMIT <br />CITY OF DECATUR, ILLINOIS <br />INSPECTION DIVISION <br />424-2787 <br />Commerce Code: <br />Building Use: <br />Work Class: <br />ADD/ALT - COMMERCIAL <br />BUSINESS <br />RENOVATION/REPAIR <br />Zoning Abbr: O-1 <br />Permit Number: <br />LOCATION OF WORK: <br />APPLICANT: <br />LILLIBRIDGE HEALTH CARE SERVICES INC <br />2 MEMORIAL DR <br />DECATUR IL 62526 <br />renovation of existing bldg for new clinic space <br />WORK DESCRIPTION: <br />2016-0981 <br />250 W KENWOOD AVE <br />CONTRACTORS <br />Building: Oshea Builders <br />Electrical: Trutter, Stephen <br />Mechanical: E.l. Pruitt Co. <br />Plumbing: E L Pruitt Co. <br />Payment Summary <br />PERMIT FEE: $5,145.00 CONSTRUCTION COST: $1,300,000.00 <br />The undersigned is the owner _____ authorized agent ____ of the described real property. <br />Signature of Applicant: _____________________________________________________ <br />REQUIRED BY LAW ALL WORK MUST BE INSPECTED PRIOR TO BEING CONCEALED AND UPON COMPLETION <br />OF WORK. <br />__________________________________________ <br />Building Inspections Manager (permit is not valid unless signed by the Inspections Supervisor or designee) <br />This permit is issued solely for the purpose set forth in the application approved on 09/01/2016 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 />5145.00 <br />0 <br />0.00 <br />Check <br />$5,145.00 <br />5,145.00 <br />Building Permit Fee: <br />Engineering Permits: <br />Credit Memos Used: <br />Total Due: <br />Fee Paid: <br />Pay Type: <br />165995 Receipt #: <br />00/00/0000 <br />09/01/2016 <br />02/28/2017 <br />Application Date: <br />Issue Date: <br />Expire Date: <br />Userid:RASTEPHE Customer File Finance Book 09/07/2016 14:49