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1980, 07-11 Permit: 80-6917 Inspect
OWNER CONTRACTOR NSE W INSI?ECTIQ'CORD SET BACKS LOCATION TYPE OF WORK FINAL INSPECTION: DATE REMARKS: FO o 7`/ ,t/ 1 ,f ©4'Pc/ 6)/e/4;4-FA/kir 4v& forsW -.//-- !-(Jiff/ o%ed /3 07- Ale p/4f/ o N jai CO ,i 7r/,�TDR LTJ 69 S 7^t Al M ( 7'/ MS=S ye J4J/l' rP p v i i/3oi�o 2e)m.2 / t` frike-t 6'W__ t, JOB 17&' • HL 2 8 a Sou liv /OvHils Aoo• OWNER BeevS Ro. a/P.r/G6e `QM W COjpree ?Tested Teci esi97 ADDRESS CONTRACTOR srmF 4' ADDRESS Severe D ESEPNER E' ADDRESS EGAL DESCRIPTION - SEE ATTACHED 2f,PSW. z'74afP Ac al Set Backs In FOR 001. / n !2 35 go of Parcel ona aunnml TElse Cono rwa IP [ OF ua[ F010 a }'Ives So k l7 Rased MAIM, Area rgee M er Fluor I Moo Baro. Ar.. Aro of Oaks FInlhod -awm ICU KNEW 0 ALS. 0 AWN. 0 ROL. 0 MVE. C'rwo RR BLD. ❑ PLMS. 0 MECH. 0 H. 0 POOL_ OTHER M. o2. torsos Odin. Bamm.m yETO o • 100. Pf O CERTIFICATE of EXEMPTION Roc O DESCRIBE Et RR a �Vlj/P 19"11cV 4 VALUATION 00010E V7F$l0O 0TIL01TIl5 I hereby c rtrfy that I have read and ezammetl this applicaA0A agg ga,e read the "NOTICE" proviosons included r on r side, and know the s V n be and c t All Id irvtI ons of laws and ordinances governing this type ofwork will be complied with whetherspectrred hued. or mo The grantrng of a aroma does not presume to give authority to violate or cancel the plovrsions of any other rl rr local iaw eunldnng co tructlon 01 performance of construction. SEE EVERSE SIDE FOR REQUIRED INSPECTIONS SIGNATURE SIGNATURE I)F APPLICANT �B^" OAS ELECTRevaaPvce RIC ATE MUM. 0110. Lautloa Wu) 5,47;W:0 u Ic 1P al•raDmy Prlvas. Ei USE COO! DATE OF APPLICATION ES COLLECTED Single $ Bmlding 0.3a7.aB Plumbing Mach. Plan Check SEPA Mobilo Rm. Other IBp.B(NI TOTAL E IT NUMBER r. .7 02 . •30700-' .307.00,, o; •307.00 , E •000:8. 'aef 07-07-80 P 0479. WHEN MACHINE VALIDATED IN THIS SPACE frE