1980, 07-23 Permit: 80-7214 InspectAPPLICANT. CO
PL
•moi
c APPL A ' :4
WhNE COUNT,Yt__ 9LIILUING CODES DEPANTMNT
iy%,.oxo-AW' e_sirEaso _;x;s5ey'
1x8 '/?isaPlkis:i
TE NUMBERED SPACES - PRESS
ARD TO MAKE 3 COPIES
LEGAL DESCRIPTION - SEE ATTACHED
eEn/ea3sf/3- a4-273
7 -bean 5177 X%✓R Xi21a/ e Imo.
?e' 1 0•.,
0
Ro
uP W. D ALT D ADN, D RPL D M
I.
In
XEMPT ON
O 01. Lotman CA •
e yv9au�/'F x x ``EI
ELECTRIC
WWIIV 00E
P.M °Purr
that ood onothis opplic TIOPrF' 0910 included
On !MOW WirthSih, end knowLW lern0
uv the wlJ t e. Oar nIp11T15
IVPo of war. wlllnhe 0mqua wnrIMrp « il,J hymn �Ildnr
0 give authority ro violate or cancel mo provisions m any 1. nV To hail mantic
annneueuonAiuIhii
n
00rMimmnce omW [YOM1 SEE REVERSE 6100 FOR REQUIRED INSPECTI
DATE OFAPPLICATI
SPECIAL ApPNAMeovAoLwv.
9. CIAL
CONOITiONS
PP- yI6o1.1
rytL7
.. �.nonks.P.-
m4Mmm411
• thaw
Lu
ICA
S COLLECTED
50.
Pwnnm,
Msh
•EPA
Moplle Homa
Other ISpxrtvl
TOTAL P
cr• •`UCO
•55(0 d'
•Some
1.500 8
71:35
07-15-80 :.
6479
WHEN imACIIINE 00010ATIn Minas saws
1
— •fR
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSEW FINAL INSPECTION:
SET BACKS
DATE REMARKS: /
7-23.00 ,Jo sr Mary eh' / e
/,4/ /62 ''/ t
warm.' aiiiiiwOr
Rear Mar..