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1981, 01-07 Permit: 80-4934 Inspect INSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK NSE W FINAL INSPECTION: SET;SACKS DATE REMARKS: ,, ?.-81/ 2-4 .e a,.l Gi-0-141 la// c ',{ fr, H s' vn Vii,' 4Yt 1 ir • 'PLAN MUMe[R (r —O ^ 4%'' I R'�IT nUMe[R al/ J- / r e 3'" 147:' . t n u #a�.-d+ id' /`[�// may.. ,,,,,-r, 1 O 9 ::,:i,-,,4.w•.+.1• ORII 3EPP[R.O / Yx�# k APPLICANT CO'PLETE NUMBtt eVA '-PRESS HARD TO MAKE 3 COPIES ��'"t ' KESS w, I. JON 150'E. W, 0. Zq //,� LEGAL DESCRIPTION—SEEATTACHED wr lstoL kZ I' / C2• •9200 L ,O I Z I PARCEL NUMBER/S TW,../ VILW P1ewA,psO '11LwT D o PHONE •9200 6 a KeY H.SE-N 4zA.1657 -r.%_-. •9200t! S-•FY C...150 a Actual In FM L •0 0 0 8 CONTRACTOR vItL)1,AlL Ro. 49204 Bac. PHONE Slid of Parcel COROCIoNINCNIIo,,w h 9 2 ♦ 1lSOKTMN/WOS CLPCTV 244'4440 ADDRESS Ac TO Const. omwna Swink.. 05-22—BO 'RT 4 aoKZIL s.- bKf...,e PHONE ovN ❑Ne ❑ReaP 9 UI •.. 647 '-, UION[R ration on Echoes.Area In SA PT G' ADDRESS 2�,l00*� ZIP MiIh Floor I USM Playa OSISM AreaI Start. CHANGE OP USE PROM !To Area of DS.W I'MAW newt I d .-/ Easementn/ln.[SmSnt T't 0 NEW WALT. 0 AWN. 0 RPL ❑DUE. NO.eMM I Ne.St IN NO.Room. �Ne.of 0w1110.. T' « 0 OTHER WORN 0 INC. 0 PLM.. ❑MECH. 0 M.H. ❑POOL CERTIFICATE Reard. I Reed. Piot R.o'o. ORIGAMI WORK of EXEMPTION A Ennui.Dirt. !Location o tion(Area) ' tOOs/VCF FEN COLLECTED y 1I4OUORC! AS I ELECTRIC I WATER IO.1.1p ME CODE BE 11.00...IUTILITItl NEWER S❑PrNat.OJ I hereby certify that I have read anu exunined tlys alTI.,I','..' '' ,P tit fn f Clop, B . of side,end know me same tohe Orel Air �O� I( typealwork wll be dInpl rrl oath h th_ f l w governing rthis _ ,sntlI lues not Ole.Mr BuIMInS R42.OQ toauthority FOR HLOUIH give cE 1. UI iel lainu fon.. performance of construction.SEE REVERSE SIDE ��' rs 'r 1O EI INSPECTIONS Plumbing GATE OF APPLICATION 67,02.1---'—'613yl.• ,111!l ,.I i I ist Mech. SPECIAL APPROVALS I SPECIAL CONDITION[: NAME DATE i LICCNsr OK. PINI Check C,,.rr.,i In —BILV W,N Aet.. I I..M n _ SNrp Kt Moor /1,-,,, BSPA wth. ADnrN4 t p%TN Mobile Rama I y,^N. "- ELIMINA,NCt I 1SepRaDn Other lancet cl TOTAL $c'ra__ _— c___________.