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Checkfist for Refunding Building Permit Escrows <br /> Buiiaing Permit # �..di f "'o�� � <br /> Street Address: �� ��Q��Q���....• <br /> Appiicant Name: ��'��= l�1Yl�f! tA(.Q1(�- <br /> ' ��'i NpV�i �I�GtI'�+�I� <br /> � �� � <br /> ���'` <br /> ❑ Escrow request received Date: 5 ' f ' 1--- �� <br /> Permit Type: 1 V`� � !V[1�-� • � ��.� ` <br /> �� � � <br /> Are all inspections completed? es No <br /> If not, list what is outstanciing: <br /> Was there a Temporary Cer�ificate of Occupancy issued?/Yes�) No Qate: <br /> �.� <br /> Was there a Final Certificate of Occupancy issued? Yes No Qate: <br /> As-built survey required? Yes, approved on NO NA <br /> ❑ Email CK & Bonestroo to see if there is any unbilfed WIP. Date ernail sent: <br /> ❑ Prepare memo for Finance Department <br /> �:\iorms'�zoning standard rorms�checkiist ior reiundina'�uilding permit escrows.doc <br /> Last Uodaiec: 1 G-3'�-201� <br />