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, . 'I <br /> r i E crow I <br /> C11ecklis� for Refunding -Building Pe m t s <br /> � Building Permit # ���" �l� <br /> Street Adc�ress: �2� �l���+P,�1St�'1 ��`i Y <br /> � <br /> APPlicant �lame: V1�QCi� � �, I : <br /> I <br /> �� <br /> . • <br /> Escrow req�est received Date: �n l��� � <br /> Permit TYP�: �� II <br /> . <br /> Are a�l inspections cornpleted? es ` No .�Q,�. <br /> i <br /> If not, list wflat is outstanding: � <br /> ; <br /> ' . <br /> _ <br /> Was#here alTemporary Certificate of Occupancy issued? Yes No Date; � <br /> � <br /> Was there a�Final Certificate of Occupancy issued? Yes No Date; I <br /> i � <br /> � <br /> , , <br /> ❑ As-built survjey required? Yes, approved on NC� N,� <br /> { <br /> � <br /> � Email CK & onestroo to see ifithere is an unbilled WIP, Date emaii s�nt: I� <br /> � Y <br /> i <br /> D Prepare mer�o"forFinance Department <br /> I <br /> III�' <br /> I �� <br /> i <br /> I <br /> i <br /> ' II <br /> II <br /> •f ni ard form lchecklist for refundin buildin ermit escrows.doc <br /> z.\ormslzo ng stand �S g g p <br /> Last Updated: 10-31 2011 � <br />