HomeMy WebLinkAbout 1980, 08-05 Inspection: 80-7625 MHAPPLICAN COMPLETE UMBEREDSRACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LOT LDCI
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
3 41:.'"l
ZeT'PlO
RACTO
POW -7a/
ZIP
PHONE
ADDRESS
ZIP
O $ISS7 —69/09
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DE.s
A
S• ADD
R
PHON
Valuation
Building Are. In Se. Ft
24414-60
ZIP
CHANGE OF USE FROM
0.
TO
TVPE 0 NEW 0 ALT. 0 AWN. 0 RPL 0 MVE.
i. WORN O BI.D. 0 'LAM. 0 MECH. 1Ft.11. l7 POOL
ra
Mein Floor UPPN Floors
Atm of 0 PInIWS Bement
Garage Storage
No. S.th. I N7 storm 1
I} CERTIFICATE
of EXEMPTION
Enum. DIN. Location (Arm)
No. Room.
No. of Dwelling
*eV.
Read. INet yp'd.
��41fAIf.�LUUAAt'if3N SdoncR GAS'
9. J9A 2 I0TILOITIES
E�ll%f'
WATER
USE COOS
Pun°�� o�,Iv.N�
I hereby certify that I have reed end clammed this application and have read the "NOTICE" provisions Included
on reverse side, end know the same to be true and correct All provisions of laws and ordinances governing this
type of work will be compiled with whether specified herein or not The granting of a permit does not presume
to giro authority to violate or cancel the provisions of any other stale or local law regulating construction or the
2effomen. of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION
SIGNATURE OF APPLICAN
IPIOIAL APPROVAlI
NAME DAT
nv. Health
Vie
Otr.
to. Enginmr
Ulllltim
AL CONDITIONS:
Ay, hiEs4C-r04
FEES COLLECTED
Slnml. $
Bulkling
Plumbing
Mech.
Plan CMek
SEPA
Mobile Home
Other (Speedy)
tEI
TOTAL S /"c,
07* *100.00
*10000 K
•100008
E *Q00 8
76242
07-25-80
2 6479.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE 7WOR
NSE W FINAL INSPECTION: - ,
SET BACKS
DATE
RE/MARKS: (
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