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1981, 04-03 Permit: 81A-2448 InspectINSPECTION RECORD ADDRSS DATE LEGAL DESCRIPTION — SEE ATTACHED Zprw Class IuttoM ka. 5ueEAOMg aronkwba Ole.. ONo 0 Rn'.. W I101ee AMP In Se. Ft. AS 12 CIMegik00 USgi MOM rStE�. 1-4 O ..y. O wow. ❑RRA D . ❑ 'T""IV 0 ELO, 0 RAN. 0 NECK M.N. El PQOL TO Un INy.Itdtu, trni % Pa.,. wLIT E a I ELECTRIC 1171 Ip WATER SEWER QEPTIL No. Eat No. Star 1p No. Rooms N CERTIFICATE R.p a. of EXEMPTION [num. DIR. I Leasl.R I Ownership USE CODE Poen< O Private Ei I hereby lia.v{y; Mat) have read and examined this application and have read the "NOTICE" provision. included on arse sId.•'054.know the same to be true and correct. All provisions of laws and ordinances gove ing this type of work w4+1 (9asplied with whether specified herein or not. The granting of a permit does not presume to give authority tS'ylblite or cancel the provisions of any other state of local law regulating construction or the performance of constiiictlon. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS TE OF APPLICATION" Ih. �92� SIGNATURE OF APPLI CAN T 5/1 L APPROVALS SPECIAL CONDITIONS: r r FEET COLLECTED SINN E EuikME PIumbing Maen. Ran Check SEPA Mabe. Rom. �Ylry� Other lSpeellE `�' i'_1L TOTAL E 02• .2500 e f _„k