1985, 04-24 Permit: 83A-9080 Inspect 7
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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PERMIT NUMBER
PLAN NUMBER I APPLICATION/PERMIT ®3A V
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RTH ell
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
/..E �j PARCEL NO.
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9_ µ..� 1 E ECrw'c sWe:i[U A FEES COLLECTED
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I Mete certify...,..TN 1.., ••,and era.. act.Alt gTM granting
01 lees and ordinances governing this type 01 .WwK ���I-
ewe S.M,aM Rno_el.Yma to 1>e eco an.Ear 111
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F0 REWIRED INSPECTIONS n-
SI SIGNATURE
AE`IETISE•••� APPLICATION 9/j s-/�j [J�
SIGNATURE G rI ,_._ DATE 6.4.6.
pyUIETE.SPOR ECIAL
- O�
SPECIAL APPROVALS SPECIAL CONDITIONS((SEE REVERSE SIDE FOR NOTICE) Man __
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E 1111111111 WO.Hone
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SEn WNEN MACNINEVALIDATEO IN THIS SPACE.