1984, 03-13 Permit: 84A-2144 InspectADDRESS
INSPECTION RECORD
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APPLIGATION/PEPMIT
CDCI4AM6CCIINTV— PCPMITM ENT Br EWILBINB d CAFETT
NOVA III IIFFEI1011 I IEDKA111.W19N01699A Mid IIME1114.11,1
nPPBennII eeMr6YTC rYMuCrC9 OPAGC m KMLE55 MRO07o MAKE IfAelii
PLLP:
Y{ uiilrs;J .
Er 1, a evrrrr l r6�ul --
.1 141LuCAaR- lin 74001 kril:Eva7
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'. ruler•
aM
rnnuanel imi 5 be - IB17
E ecllplleu
ismon .10
MOW,
1 ' EMEN r
TIP
! / Ds 11.4M 1.6
TYPE )SHIN 0ALT. a AD'N 0Na time .
F' °fORN`-1 660. CPUE.QMEGN. [1 MAtmCIrooL OefuEE
W
IN. rpt I ( 1 Gn bQ ar .21.V IV Eams wmww... .. i.. �
53'1/r 1
fir!&' & r"'• -'t
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w 14 Par..
e. n.""ZIL Y9z1 6EItLo6E aN
a.
1 N.LD.na 7:1 a, 1 ""nc 1 :sit
wart I.. ' I R.N., D hal
b! Yre
1.611.10.
°truly 1.111.. N. ant 11111.11. ITN WPWairk.1 and
IMreOI 8I.Id Orrerw r De lumencl MM.RIgo bnl M htlldpelEli L,••• Om'_Rel5lnaluelod an
lnvvo* el
o ut will Gmnp1W with wwlner erdSE Mwn Of IW 1141Oren1114 e16 parm dam nal prru..0 b
IMlh le OMAN or rlvl EM Ocei1.16.4 el any 01/w 51l1e or 1141 law rpu1wlnp mnrlr.•Ibn r w• pelerm.nce
446Nlru4lm EEE REVERES IDE E0ER OVIIEO INSPECTION;
(C� rNO pP Ei ATION
E IDNATVREDF
OwnER On AGENT —
E OVALE PECMtcONOTON4(SE E'EVEROE EIDE 50 NOTICE)
/1"
WA
LGE E%ISTI116 Pnwstcfc
PERMIT LSNONTRANSFERABLE
PERN1115.MLL AND V050 if WORK HAS 501 COMMENCED
FEESCOLLECTFO
1‘
Poi Owll
100.
rnr.pL•rlrl
TOTAL 10
ReRadkL"'"77..ea
4*
it 54,5511
50900E
•COO
2151.
0e -10 -ea
6690 •
wHEN MACHINE VALIDATED 1 THIS SPACE.
TNr10ECOMES A PERMIT.