1980, 07-30 Permit: 80-7779 Inspectr
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OFF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATES / REMARK
•
TVP[ ®NlW ❑ Z.T. ❑ AD'N. ❑RPL ❑ MVL. -
��.' ❑LLD. O PLM[. ❑ ❑ M.N. ❑ POOL OTHERL,"RTIFIGTE ea .q .
W�ORR
EXEMPTION
RLemont real
FEEECOLLECTEO
APPLICANT: COMPLETE NUMBERED S - P ESS HARD TO MAKE 3 COPIES
02 • %.5000
X5000 K
' Lw Lu aO LEGAL DESCRIPTION -SEE ATTACHED
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1 hereby C.f lily that 1 bare read antl examined this npphcahon and n,1v�� „x.111 the "NOI If'.4. nl nvisions included
LEgrsU50006
-0/3
��
Bulldlna
1. g
to Blue eulholity to VlClete or cancel the 1lrov inions 111 ally nn 1-i sia r; � �� al Iew ragului n�u ��1lnstrut
;Zk1 P& 4, tB//
E aao0 a
OOyv tp"f
3'
Plemblea
Aobll . icssaLPi'bt, 5a-Y701to
7 7 7 R �!
07-28-80
6b79.
t!iMa
ADDREEB ZIP Aatu.l S.t B-1 In Feae
a0'73 ao
for
CONTRAC OR .PHONE Paeul n. CRaatNallon
icri f3 'd2; -co
* ADD' zIP «..... Prn
033a pws�I ,'�%e%R ❑y.a [IN. "No q.g•a.
DUIOM[R PHONE lu.tlon Bull.lnq L In lq. Ft.
WBC1AL APPROVAL[
IVECIAL CONDITION[:
t DATE
TVP[ ®NlW ❑ Z.T. ❑ AD'N. ❑RPL ❑ MVL. -
��.' ❑LLD. O PLM[. ❑ ❑ M.N. ❑ POOL OTHERL,"RTIFIGTE ea .q .
W�ORR
EXEMPTION
RLemont real
FEEECOLLECTEO
CW[UTluTlRIv.H
Elnal. E
1 hereby C.f lily that 1 bare read antl examined this npphcahon and n,1v�� „x.111 the "NOI If'.4. nl nvisions included
r�id`�n
on rey.ru side. and knuw the same In be trlm and correct Ail n s nn w nws and „� ss governing th.,
of work will ba complied with whether specili ed herein <n n V iii gi nn nnq ul .i ��, of pr wma
��
Bulldlna
1. g
to Blue eulholity to VlClete or cancel the 1lrov inions 111 ally nn 1-i sia r; � �� al Iew ragului n�u ��1lnstrut
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plemblea
OATS OF APPLInn IiON. ��aSII.IJ�rUnC UI nl'11 int _
�n
WBC1AL APPROVAL[
IVECIAL CONDITION[:
t DATE
LT(Ew�.� �I�j C/..'!i 1en�
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Plan Check
CK
[EPA
RSI it V, rtk - U ft --Tvy 517
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