1980, 08-12 Permit: 79-6829 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK ��%%��y
NSEW FINAL INSPECTION: /0 ami 1%4 Al
SET BACKS
DATE
REMARKS:
3
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17
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of
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no. Floors
GERTIIIGTE
04 EXEMPTION
. RoomsR I eNOS Room a <r .
VALOAlI0NVII I
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EL[CTRIC
I hlrehd COrtlty that I MITI read and ExImioIE t1111 1EDII1a11en and have read the ''NOTICE" nreulvens inoloe•d
1. .i ee, ...d One same
o 0. we and marmot. All proyl.lonaof IOW. and ordlneno.r
r Sor inE tt1-111type ,,r •v wall 00 COMOROS WAD Whlmer 1{N0111.O herein or not. The printing Of a permit does not prelume
lu dive ail11lh!I0 In violate Or canal the nroeitions of any ether data nr local law reool.tnrn conrtn,Ctinn or the
partormat,0
0000 SIGNATURE
DEPT.
SPECIAL APPROVALS
REO'O. RECD
ary
ishionine
hai
CO. Enaln«r
Utilltiat
One Clearance
0
SOPA Checklist
!FICIAL CONDITIONS:
/O_
•
FEES COLLECTED
vino S
•011d100
Pl...nbino
Mach.
PI. 00 k
SEP,
Mobilo Home
x300 G
•300d
E •GOO 8
bB201
10-26-79
4479,
Other (Specify)
TOTAL S ��
WHEN MACHINE VALIDAT DIN TRIS SPAt'r
THIS BECOMES A PERMIT 4
1U�26 79' 6829 "3.002~