1980, 08-27 Permit: 80-8398 Inspectit'F
INSPECTION RECORD
.
OWNER
LOCATION
CONTRACTOR
N S E
TYPE OF WORK
W FW
FINAL INSPECTION: /� / /c2
SET BACKS ,
DATE
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REMARKS:
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•i Ir %;lAPPLICATION/PERM_IT:
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� 8P01(ANE COUNp0=OBORDMO,COOES DEPARTMENT2
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A,Tkt¢. .— APPUIGANT..COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
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1 ,,0.Oy certify tlNt11 sien x.4 end teemm.e mo .eplmnlon end have reed m. 'NOTICE" provision, Included
reverieon • de erg know the myna o M nno
Inn and count, All orl,l0nr of lew and ordln..r governing Wire
type WI work will be compll.E wh whether twined herein or not. Th. violin ole pnmrt Gale not presume
b;INywthOrlry, I0 WOWS Or ince! the prpruons of any other Xne or local la xWlxmg 44^xrvctIOn or the
M OonvooNOn. SEE REVERIE 040E FOR REQUIRED INSPECT NS
DATE On W PPPLLICCAw;',"1 : 0bm. SIGNATURE OP P1
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CERTIFICATE
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PITMAN
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ACE! COLLECTED
Nm Owe
INR
Mobile Ham lea'
040*0 bleep
TOTAL $
eeMIT NUMBER www -1,11
&Iy 8392 IP
0'I• : *l ouoo'
.10000
•100008
•000 8
83000 r"^ rr.1
Uny ¥
08-1 I'-9,an$jj
e 44793 K I