1980, 09-02 Permit: 80-8845 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S' E W
SET RACKS
FINAL INSPECTION:
DATE REMARKS:
,z2
APPLICAN I I .UMPLL IL NUMHEHED SPACES — PRESS HARD IO MAKE J COPIES
;eOlDry /�/io
LEGAL DESCRIPTION — SEE ATTACHED
1
1t4
-
a ABPo
T( % '1/D
Mei/
'PARCEL NUMI(R/{
rf
j..
14ao6
'214 sue.
Ine111•1 TelI In not
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Tye. Con.. I O«u«np
N
w
ER
'NONE
ZIP
V@ImIlon ewamr w.«
OP DRE LtiO
� GILT.
0 ALMS.
TYPE 0 NEW
7. or
WORN 0 ELO.
` D lel WORN •�P !d ° d" ux
V L AT yrE AE �ELLE.C.TTRIIIC�� =WATER F
Q UTILITIES /P•vRcREI,
TO .z6c
Lnlln. I..lne0t
0 AO'N. 0 RRL 0 LIVE.
IECH. 0M.N.0 root. 0 OTHER
E UM
No. S.M. I No 51«I« 00.1•00112 re. of 00444 nee
RK d. 7101 Rea'@.
CPRTIPICATI
.1 EXEMPTION
[num. Ol.1. I Lecalan levee
On n ogle
Nana Omlee« 0
USE CODE
1 hereby a=rtily that I have rind and examined Ihis application and have nod the "NlTlet" nrovislon, inclnclxcl
on raven@ aide, and know the .a n he true and correct. All provisions 01 law, Ann n,lknances governingMr
of work will he complied with whether specified herein n• not. The granting nt 'C' clow not pm.lmn
to plea authority to vi.1M. Ocancml rhe provisIn is Di any 01001 State nr Intel law �xrpu�tV ...r poor Nnctinn
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVAL. p
[ E l CONpITI
NApM:
nwMe oar am,
•
I 5
TEPA 00.111,11
10 PERMIT IS NONTRANSFERABLE
' PERMIT EXPIRES ONE VEAR FROM D -STI C1 ISStANCE
RENS COLLECTED
01ryN {
S anding
N umbing
Mach.
Pim Chock
SEPA
Neese Nerve
011.1 lb«INI
TOTAL SAIL
()/
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
081:'216'810' Aa'a5'1"77.7-Trraot
DATE ISSUED PERMIT NO. TOTAL • ...