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
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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___________.