1982, 12-08 Permit: 82B-331 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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OAPPLICA.�.TI Hit,i.:,1r
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RMIT
COUNTY—SUIWING CODES DEPARTMENT
ER8 331
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NO11104 611 JEFFERSON
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APPLICANT:COMPLETE NUMBERED SPACES/PRESS HARD TO MAKE 3 COPIES
p "ss LEGAL DESCRIPTION—SEE ATTACHED
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in7EfGe,R Of...) 911,..735"7 .
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T. °woRR ❑eLD. D eLMe, B cr. D D POCERTIFICATE
a EXEMPTION nw f h
5Enum,OW. eulion IAraal FEES COLLFCIO /
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I hereby certify that I have read and enamined this SPOlkation and hove read the"NOTICE-provisions includedon '
reverse aide,and know the same to be true and correct_All provisions of laws and ordinances governing this
Npeolwork will M candied with whether specified herein or not The granting of a permit does not presume BuiMinF
o give authority to violate or cancel the provisiorn of any other state or local law regulating construction or the numb
per Io.mance of construction,SEE REVERSE SIDE FOR REQUIRED INSPECTIONS �n "" ng
/✓/2G/O2 SIGNATURE OF APPLICANTA/.. Q• -�-�r�— kwcn., 2D"
DATE of APPLICATION v
SPECIAL APPROVALSSPECIAL CONDITIONS: •
. NAME E Pian Lack
•
En..HeHt SEPA
Siann M
Mobile Hmw
E..Enewer - 00.'15,01,1
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1 utll,ee
•
TOTAL S,20
1 fi.nr E.am.w. I .
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.