1982, 03-30 Permit: 81A-1703 Inspectl
INSPECTION RECORD
ADDRESS
DATE REMARKS
3/3 / /
7
i
1 01
OOJA
APPLICANT: COMPLETE NUMBERED SPACES — PRESS TO MAKE 3 COPIES
1?„4-.EtaCe.
LEGAL DESCRIPTION — SEE ATTACHED
2.
sw ER
3, (9.4-4-•
v.? 3:1-4.././...4.14^.4ed PA— jtucw.cu,gra.
c yTRACTOR
4 .
b.lArt.4$41
ESIONER
5' ADDRESS
PHONE
q241—',4.7Z3
000*00 — inn!, porr
4,TF — N <crr /
E x1. S. ' 0 so, •
ZIP
;IFLI/4.Y
PHONE
Actual Set Rams In Feet
I
Nortn 4C5 445' East 7.5 10.0 31'
Sim DI Pave, ,
/Z$Z,
ZIP
Zane ClasyMmlion
r al./Ltd-it/
Type Coma Omuta.). SprInklered
Do.. 0No 0 RORY,.
PHONE
ZIP
v
Mai, Floor
RAW.. Area in SP. Ft
Upper Eioors Garage Area
Stoma.
CHANGE OF USE FROM
TYPE 2, atEtry
7. OF
WORN
a -7,777"
1;70ATP-
TO
Area of Oecks Fir...4t 11 le jagElasemenLuntin. easement
El ALT. 0 ADN. 0 RPL. 0 NYE, ormE,,
0 MM.. 0 MECH. IP M.H. 0 POOL
No paths
OAS
.1.4f. (
WATER
ELECTRIC
No/. Stories" 004.0o0m0 NT.,) DwellIngs
CERTIFICATE
of EXEMPTION
Enum. Gist.
Location (Areal
rbxt Reg,.
SEWER
Ownarsme
PUR''S
USE CODE
W e of 10., va comphed ti. 1 Emil , +.m1, rI01
00 give du lhority to ululate e, rr 11011 ,r
performance of conatruCtion SEE REVERSE SIDE FOR REOUIRLD INSPECTIONS
SPECIAL APPROVALS
NAME DATE
/iv 21/3_
SPECIAL CONDITIONS:
eAd
2e.
FEES COLLECTED
S gi $
PlutIbIng
Plumbing 1 9
MAE.
Plan Chock
9000
Mobile Horna10
Other ISpeeIM
)—e
TOTAL $ 591
a 5 OBI) Is
0 t0o79
.9.00
no
1