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1981, 03-30 Permit 81A-2318 Inspect7 3 ADDRESS INSPECTION RECORD DATE REMARKS S /ale 3/5//ij c 6r /, 744', sr tS e7 //`,-, ^'i 74<� j//tel / .' 1 J UNE 9 AS ADDRESS r▪ [R • wlu.1APA u r 1.0411ELAN E.115419 BwoGCPoi APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES IA BRIOCiihRT LEGAL DESCRIPTION - SEE ATTACHED p7DD0 EPGT l CONTRACTOR 91AII16 424E 1x51 PARCELNVMOER/S eeessa-es Is ZIP etiziG AOWISSa D ESIGNER S' ADDRESS ZIP Arta. s.r serer. In ran Nate La I.nrthJ L.,t 20. Iw..t CRaNAuNon RES. MoBlL.E 1brnE Sate nCI z US Tye Ere.. Oaop.nq A-1 SpmeNrW Oyn ONO 0 RATA PHONE gyaIlore suuMIM Area In So. rt. 4110 SIP Main Fin. I urn. FF.. Parma Area leo Store.. 1 CHARM[ OF USE FROM ITO N of Ds . I Plnlahee MNment uaM. Iseern. TYIrI ri1 NSW 0 ALT. 0 AO'N. 0 RPL �T lWDI1R lY ISLIP, 0 PURL 0 MICR. 0 M.M. O S90RIs[ WORN • & VZ UT�OM W R l� r[L[<TRIC • WEoIL CIC J G y� 0 MVE. ❑ bol LJ OT NO. Bal 1 r 0. S[Nln No.. Rooms CERTIPICATI 5.54. I Rema. Sia l� a exEMFTIDN I r No. 0 Dvnlllnes !num. Old. LOrauen (AroN SEWERWATER Soft". Ow.rMla Iweur ❑rerun. Iltf WE CODE I hereby certify that I `have read and e,.mined this application and have read the "NOTICE ulovlsIons Included on reverse ride, antnnow the same to be true and correct. All provisions of laws and .,Idlna,Aes governing this type 0f work will be Complied with whether spangled herein or not The granting of a 11 rnnl doer not presume t0 give authority to violate or cancel the provinons of any other state or local law reeulnnng LonitruClmn 01 the p.rfofmance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS • DATE OF LIGATION LT/ O/ SIGNATURE OF APPLICANT JyILEs i RECIAIAL APPROVAL'E YECIAL CONDITIONS: - n t DATE MA.. 'CO .n Flr. Marthatr cd Engineer R..lo• 0lan. E...nIn.. FEES COLLECTED SI aR SulldhM Plumbing Wen. PNn Check SOA Mobil. Hon. Other !Specify) P �Z6® TOTAL $..118. PERMIT NUMs[R SVA -.231,r 02• •2t;0C •2800' •280.0 A •000 8 2137? 03-06-81 ? 6479 . ,alE[4wlena. WHEN MACHINE VALI0ATEO IN 11410 SPACE, I n,!