1985, 09-24 Permit App: 00007980 Residence •
i i..
DEPARTMENTAL REVIEW
Cond.
Approved Approval Hold
Environmental Health Permit Number
❑ W. 1101 College
Room 200
Planning/Zoning
❑ N. 721 Jefferson
Engineers Permit Number �` 9-.21-e
❑ N.811 Jefferson i A/4 �,O 7
Utilities l
❑ N.811 Jefferson
•
Plan Review/Fire Prevention
❑ N.811 Jefferson
Other(SEPA/Critical Material/etc.)
0 Fast Track/Special Inspection Information
Project Representative Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true,correct,legal,and binding.
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ADDRESS N. 1117 TSCHIRLEY CT STYLE HOME 9516St "A„"
LEGAL DESCRIPTION L5 B1 ZANGAR'S ADDITION
APPLICANT TUPPER INC POWER WP
'JOB # a 7 9 WATER Consolidated
FHA CASE # ...S-6 ....1- 67 1 y( . SCALE 1" = 20'