HomeMy WebLinkAbout1981, 02-06 Permit: 81A-1214 InspectINSPECTION RECORD
ADDRESS
DATE REMARKS
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1 APPLICANT' COMPLETE NUMBERED SPACES — PRESS HARD 10 MAKE 3 COPIES
jX1•ADDRESS
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LEGAL DESCRIPTION — SEE ATTACHED
LOT :LO(t.l ROITOMON
z OWNER I 14Ar.-fcrs� ntrA='1-"+' oNE
PARCEL NUVORERfS
r�42— 15�`C1$$/$;14'S
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North hal Sol R.<.!SoI„ 0 Cn,l Lest 14-
C01:11 L<'Et7 .
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PHONE
SIN. oofPaaw i Zone
ClesRti<atton
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Ron,.
Oves ❑ p Snifter.0 R
4. ADDRESS
ZIP
T tsiConst. rsn
PM/111
DESIGNER
PHONE
Velua Buntline Area to Sw Ft.
S. ADDRESS
ZIP
_nr�l0 r Upper Floors OwlPte. rJ Storage
CHANGE OF USE FROM TO
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Area of Decks Flni,h*E RsamsntUVAV. Rsaemsni
TYPE O�/NFW ❑ALT. Id AD'N. 0 PPL 0 MVE.
7. WORK VALE,. 0 PLMR. 0 MECH. 0 M.H. ❑ POOL OTM£R
No. Paths No. Stories No. Rooms No, of Dwellings
CERTIFICATE 1 Awe. Reca. PI a
of EXEMPTION 11
DE5CRie£ WORK
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Town. Dist. Location (Areal
FEES COLLECTED
511E1 $
VALVA ID OA ELECTRIC TE SEWER
T C
9. UTI4ITIES
Owna L,, USE CODE
Public 0 Pvivate Yd
I hereby certlty (hot I have lean ano t,arn,n.1 lino a0Pllcal.O:. r o r v.• i,.,i i flu, N(}I;i ' ,,;n• u¢luslen
r skte. 40,1 knowthe ,isle o l...., e .t.,1 000011 AI, t.,,,.,0,,, ,11 lata. ,inn I.II �, . . �. SlOvernlnn Ili
,n rv'1• work will lie C Pliers (Willi wh.lhei .necnletl het.m. Thetyi,uitelrl DI ., n.i'�„ t itis
v ,,,,I ty I viOlata Or cancel 111. Int 0100 s Di ally :hili I .I.nI „ i„cii 10W U'tc1,11i„i'.
101110nrunce ,,i conItl,utionn,p, SFS NEVE/RSE SIDE FOR RFOU)RI:U INSPECTION $ Ill /
@VntllnE 0.
Plumbm*
GATE,. ,ll LI .611111 VLR_ 1,f'[_.__ _ 5111501 tiln III (11'1'1 O nisi %jam/�:' rrtzer1./'j/
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SPECIAL APPROVALS ( SPECIAL CONDITIONS:
NAME DATE
01110
PIM Check
Mobile Home
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tna
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TOTAL $v
V2* *2000
*x000 >n
*20008
*000 8
121.59
02—C5-8.1
3 6479.