1980, 08-26 Permit: 80-7673 Inspect•�:'
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OpYORK
FINAL INSPECTION: /c/fie
DATE
t.
dr -
2'? zc
REMARKS:
A7
or// 2,V33-7
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7
•
0
GA
E` ;,E . c�,• SP MANEatlfYE othi CIN0;C06E8';QEPABTIAENT
,t'},'„`M', �lE yygyV_yFEjf anuierCrolnue:w4fixu+olo.rviap.pilpNiwwrx•as`
APPLICANT. COMPLETE NUMBERED SPAN'S _ RRLSE I IARD TO MAKE 3 (.°PIES
LEGAL DESCRIPTION - SEE ATTACHED
Y.NV R i9e/,ifh. e.
..naEL" rs-
�grsi
ia<..Y4. eAr
b,n(IA
.n.•
re'• Rn� 1a .r1.nLL Jp-kaR?
tnLC.
Actual
NNW n Bat
x�zorrrn•
PHONE
VP
T.a..err. a
0*.. 0.e 0*..*
16
5
EXOE F USE FPQM
I"+
ZIP
•o NE; ES ALT. 0 AO 0 n.. o M.. m TX*X
AVC X D•Lo 4-D Pwp. Ole CH 0 N ❑900L
oX-o..r7%.2.
wATEn SEWER
ImrW 'Andy
On e reverie wo*F WIN,
wllldna knory rni. tomr
VV Fur* n 1 *ucIO'o r .e
prlonnemu n8Lun9rurnOn 588 8888858 SIDE FOn Ne, 1111. _ -
GATE OEAP*IILATION_7 .- —ff.'U
SPECIAL APPROVALS !GOAL CONDITIONS
I
ra•m• DATA
stomps
Am al OWN VAIN,. .mn uum.nr
+ n. N Slmlr IfI s_? 00fi. ono ar °"'"
eenTIFICATE
wAxEMn10N
17.11610101
.o...r, I UFA 000E
ritiSlitit Litt
r
FEES COLLECTED
p
Emlamp .A
Men
no
pi k
SEM
.9.500
*aa oo
*86008ry
•000 8
e;
09-25-80
ea79 _
Drlra larNerlrl
TOTAL t
4,
0