1980, 04-15 Permit: 80-0446 Inspect INSPECTION RECORD •
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N SE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
NA'A.l.'/Alc./A-'•/
..- . . - ..... ...,,
-- --- ..."..------
"‘
I
3 Iffi I-LOMB.
ILII.
PERINULIBUA--
E. . .'
•
,DATE
i •, iss
v APPLICANT: COMPLETE NUMBERED SPACi
ES-• SS HARD TO MAKE 4 COPIES
•.
1: ' 12- rsirIALOKIFf LEGAL DESCRIPTION-SEE ATTACHED
2. LoT PLUCK SUPU 1UN PARCEL NUMBER'S ,,sy 3_
- --• Mrktr- ari Arni-nfid
3 '17b0 WA Isi 4 4 v_vo,7 Ai c.,,,,,
. ADORERS Oeoulred SH this,te In Peel
Ccp, 12.12m ...1i rI4sIgifi ,P.7249‘'. North 50 ISOoth.S.-1<-I AP ,/ -IWO11 zir
PHONE Sim OI Ousel ZOn/e1G7telleMlon
4CONT..RAC?....),I„ _
t-tr x /4'O
. itADDRESS ZIP Tyoe COM, OCCUINnell SisrInkNree
Oteas Do g 0 Ree'd.
DESIGNER PHONE Valuation Building Atm In Sq.Pt.
5/ ADDRESS
ZIP OWL Arel R.Kornent.Arm Germe A, Store.
. CHANG..OF USE FROM TO Sent Entry , Soet Leve/ RencOor
e.
•
0 NEW WALT. DADS 0 ROL. 0 NYE. No.oaths No.Fioors I No.RAomt P.M.neon.
- TYPE .
7. or
Er
WORK M.D. 0 Pi_tas. 0 MECO, 0 H.H. 0 OTHER. 0 POOL CERTIFICATE ReOC. "CST rat RRA'R.
of EXEMPTION
DP,SC RISE WORK N /....1-*S4,--es,,..i
a fi-4.16, e;CGLII° CIA(00,1}1criOF ,E-4,,,,,,D,Z
VrS' cr FEES COLLECTED
iteKVALUATION ELECTRIC WATER SEWER
Z,CMAP.o•-•0 u':,e'f:,.., et/X'Zpo-r- '`'''''' 5.,on c •
Single E
-
I letreby cerrrty that I ave read and eye/bitted this andlicatron and hdve read the-Mt I Ith. .,.,,,,Ions,ncludecl
ON feVerke bele,and khnow the sante to be true end ts•IHST All provisions et leAs eerl redeye,r..reisiernitii thb Bu,d,„g _:Z.L.5_LI
type of work Will be Complied svith tellethei,OCIfit.d herein or not The arentint,nl.1 ree•rd Tires nnt presume
to give authority to goolate or cancel OK RIOVKAAH Of any nther NT..et RICA LIW',ST.,.L Yestructron or the
Plumbing
performance of construction.
DA Ti /Z--/4/-7, SiAIVATTIHE //,(70.,'...-,- Mach.
SPECIAL APPROVALS SPECIA ONDITIONS:
DEPT. REN/D. AEC, Nen Cheek
Env.Health
Planning
,j...<2....,,Atera...4.•eee-,.
_
Mobile Home
.Fire MarShall
Co.EnOMeer
Other(Specify)
Utilities
TOTAL $
Zone Clear..
/ ----------'
•
WHEN MACHINt VOL IDA TED IN I 111,SPAtE,
SSPA Checklist
THIS BECONITS A YERNIII .
DATE OFFICIAL
•
St
•
•
•
•