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1981, 02-02 Permit: 80-7741 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR NSE W SET BACKS TYPE OF WORK FINAL INSPECTION: REMARKS: ION./PER 1 tt.ING C MENT s011t 1. 111 JEFF PERMIT NUMBER FD -77 APPLICANT: COMPLETE NUMBERE4,.6Pft6ES - PRESS HARD TO MAKE 3 COPIES LEGAL DESCRIPTION - SEE ATTACHED Lo„ Ao SL03o aLROLVIADN /1'V�LIA c /1j °""...::."11"a' � a�� a Ju sur.-Ps'7p 21P CONTIrS1[L0 OBSIONER E' ADORE=! OMMBE OF USE FROM PARCEL NUMSVIS S North H Backs !South IWe o1 P.lal Eo11. cuw11c.tlon �7 0� aoNe 'M.I. 0,.s [No D Rs•d. PHONE 7 Tyle Const. VHatlon 191.11003 Area In 50. Ft. IT0 Blain Floor Ou• .90e .900 K .9006 E •000 8 77401 07-28-80 6479 aa. UMW 900,. r ON. Ara 1 Stw.M TVK ❑ NEW 0 ALT. AWN. 0 RN— ). or 0 no. 0 FI .AIX1RyB. Ai SCH. 0 M N. Obctiet woRLrro t4_fiElC\iiCT4`,VALUATION UR UTILITIES a 0 PAVE. 0 POOL 0 001135 Ara o1 O.0,. I Plnlstsa .anent No. Baths . I No. Biala 7I No. Roos No. of 000110.s R aiL. rot RoE4. CERTIFICATE of EXEMPTION Gnats. OFR. Rep'd. Ural. Romero FEES COLLECTED WATER SEWER o. .oIp I MS coot P0.11c DlrNate O 1 herein certify that 1 have read end easmiriod this application and have read the "NOTICE" provisions included an !Merle side. and know the ams 10 be true and correct. All provisions of laws and ordinances governing this Moe of work will be complied with whether. !pacified herein or not. The granting of a permit does not presume t0 give authority to violate or ,tical the proem ions of any 011te1 Stole or local law regulating eonetnlCtion or the performance of conrtftwtlon. BEE REVERSE BIDE FOR REQUIRED INSPEC DATE OF APPLICATION 1-- 20 EIONA HAIL W AFI'I!CAN �E0K APPROVALS SPECIAL CONDITI0IMI NAME owJ / n FOR CAS APPLIANCES Enr. H.ei1R / Ti. nnlns Fire Martha!! Co. Eisele.. PIPE SIZES PIPE LENGTHS BTUS 11 .nr lR" SI031 auiltl�ne Plumbin Plan amok SEPA Mobil N Otte ISpacIvl- TOTAL fC44::13 0110N MAlIlINr hili ln0Irn ir. n11100001