1982, 09-24 Permit: 80-7755 InspectINSPECTION RECORD
r - r3
OWNER
LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK/
FINAL INSPECTION. -�
DATE REMARKS:
IPLA @NUMBER
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.
LOT
2.
OWNER mCS OVA ler
BLOCK
S-
�8 N Mc gr'
DIVISION
/9s--
• LEGAL DESCRIPTION - SEE ATTACHED
3 ADDRESS
CONTRACT
4• ADORw_..
DESIGNER
ADDRESS
=2"`
4a- X499
X90/6
PHONE
P ARCEL NUMBERS
1 ?-
ZIP
Actual sat se of Perm a 19uut�"` Zeno CLNlllo loo t
Type Const.Sprinutered
❑Ven 0No0 Ran,.
Valuation Building Area In Sy. Ft.
Main Floor Upper Floors era" Area Storage
CHANGE OF USE FROM
a
TO
Arw of Owks I Finished Basement
Uniln. Sanment
TVP[ 0 NEW 0 ALT. AD'N. 0 RPL 0 MVE.
7. OF
RK 0 BLD. 0 PLM.. BCH. 0 M.H. 0 POOL
0 OTHER
No. Stories No. Rooms
No. of °wantons
1.1
CERTIFICATE Rased.of EXEMPTION
Roc el. rot Renp.
DESCRIER WORK
8
EOM". Dish
Logsdon (Arent
VALUATION
B.
SOURCE OAS
UTILITIES
EI.€CJTrHIC
WATER
SEWER
Ownership
00010 O Private 0
USE CODE
I hereby certify that I have read and aaned this application and have lead the "NOTICE" provisions included
on verse side, and know the same to be true and correct. All provrsn,ns of laws and ordinances governing this
type of work will be complied with whether specified herein or t. The granting of a permit does not presume
to give authority to violate Or cancel the provisions of any other siiitp or local law regulating construction or the
perforntarwe of construction. SEE' REVERSE SIDE FOR REQUIRED INSPEC(J`(�nJS^
DATE OF APPLICATION 2-0),5--20 SIGNATURE Or nra LlcANr WC; r` -t9 F Ct yK'ti
FEES COLLECTED
01 g1 $
building
Plumbing
Mach.
SPECIAL APPROVALS
NAME DATE
nv. roar
Planning
TWO Marinnl
Zo. RIMMED
Utll lflwki
'9laos Examines
SPECIAL CONDITIONS:
FOR GAS APPLIANCES
PIPE SIZES
PIPE LENGTH-'�
BILIS
Oxy
PW Chock 144�%
$EPA
Mobilo Roma
Other ISpwlfy)
TOTAL $ q'CX3
PER MIT NUMBER
Y�- �zsS,
04• •9.00
.900 B
.9.000
•000 S
775546
07-28-80
y 6479.