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1981, 03-30 Permit: 81A-2826 Inspect INSPECTION RECORD ADDRESS DATE 11/22v t qk it- 3-r (?J U I 3/2778/ $ ARTMENT A— 26 i, ''Iii LI. I.545.3.1„ /V� APPLICANT: COMPLETE NUMBERS -PRESS HARD TO MAl(E 3 COPIES Jos ADOR � / ' 0L• .IAOO i sR, ris_---777 s�nlD 0 pv.t � LEGAL DESCRIPTION-SEE ATTACHED .I Q00 K UM E 'S. r x 7 E .LP I Dlxr�pcosA Fazes 7111 PARCEL NUMBER'S . ..,,,..,..4....•_.- 90c3 •I 5006 a JIz ut►J G N onl A •000 e AOD.Ea. S. �I �s PC ?.� Avow tnaltel lx.,.ati�G I.e`�V in FM. 282Se CONTRA OR e� Iut 4; AODg55M ' ►'IS L , iliC. E SUE 1 :o,yr XL.PIM 03-27 8x1 - W' ' `B;WitI S IL15 yp Till cons. JPpSuP.,N Dv., Onok❑Re/re. >Y yd479, D.SIONaR PHONE V nl I Eu11d1ns Aro.In Se,Ft a : _...Q, wpoR[ss ' ae nv.uoB�O ..�0 O ;,ps.` Main river worm rmon stoop. .f • IL 9..0CD ;:g,'. CMANOE OF USE FROM t0 Arm of°mks 'MINIM b mint •Un n,NNmH1t '.4 6.S' J —N I-- 4)r TVR O ry[W ❑ALT. ❑AD R O MVL No..1.m. No.StWIo. No,Room. of Owelllnm 7• or �/ 0 OTHER C". ID.LD, 0 PLM.. 0 MEC 0 M.H. 0 PooL CERTIFICATE Rev's. p e. rt,,...a. y fi�rr.. M EXEMPTION I ✓ e .K gJ1.`IYS�l1/`Y.E-W'°°° / Enum s t ,•^' O �r>•.L` (I 0>4..7..C;) /° � Ian wr..1 PUS cOLcecreo VA- 1 N SOURCE owe ELECT c - Wel saw R owr re u0 .cool 9. IQrtulIp W C Pubic 0PrNFte tingle i I hereby certify that I Save read and eximmed Mit application end have lead the"NOTICE"provisions Included ��,�(( on reveres side,end know the same to be true end correct.All provisions of laws EMI mlbnances governing this tulblng IY' he type of Work will conplIed.with whether speclfled herein or donnot.The granting of a poulns donot presume oto give authority to violate or cancel the provisions of am/othal.tater o1 local law retulatine••.mistruction or the sx; • pMermence of construction,SEE REVERSE SIDE FOR REQUIRED INSPECTION Plumbing ..;p DATE OF APPLICATION_ 7--47- _(,_SIGNATURE Of PPM 1(,ANT „ 4'4 _ Mel, IAL APPROVALS SPECIAL CONDITIONS: 'i AME GATE G'rv� Vi '.(/ Ren Check �. „ ,(, 541,-,11;„6,4k �o.K l/zl/sl). eP 40... III I. .'bl"`.,.X .. 911, - .<4.+. u 'Ie SlPA oe Mobil.Home •' Ono/II../ Other Iep.oifvl �k ns E.emmn/ TOTAL f