1980, 04-01 Permit: 80-2651 Inspect„,..._
TION/- .I
$•• .... . ,,- .. - ENT ...-="----- 4-21"13' ' . •
,.. , ;,,,,, ,:, :: ': ,"•,,, sool....311,4
APPLICANT: C. '. • , ••••i'',..'D TO MA 3 COPIES
02• •4&00
Joe AMNON
1. c tfirg .1714/4N(4"I-a . LEGAL DESCRIPTION-SEE ATTACHED
PAPcELNumeERM‘07.,1/-.204..44.-PAS c 0&00
2. .2 I .g AIA.,Zu ez.4.4.V,ii.d •46006
kor 4 Agiir 0 E •a00 i
2
latA.55
e hyTeL .1.-ta a...de- k402.4.401.- 99047 plortil 'Soot. st Lut 0 3-25-80
c2rz.m.,2,,....it./.....‹..t. PRON. 5Is•Of PorEon.CAssIfIcatIon
.1"'Ls ircil.arris'
4. DORE'S TEES COM. Octstwalles Sori era •
fr• 31/ /4/.C/J a.m_ 1.404414Ligg..._1;2.0_2 OYES
DISION1111 ji
AMONK YoloptIon Aia WINN Arm in...Is.
5. lnaeloor I etftsn ' Pa NMI. '
A0ORIIIS il.
1 GRANO.OP lll PROM r0 ii,- Amp or DIN s I PM I ........P.
8.
No.INN I No.Matins i No..7.ns INo.Of DN•11.•
0 NM 0 ALT. 0 ACPN. 0 CPL. 0 SANL ...
NI OTNII.
wo,, 0 OLD. 0 RUM. 0 MUCK 0 M.N. je0 Pek,L.,, CINTIPICATI . r.....,,,.. rx,.....
IL et EXEMPTION
a r..5.1117A 1 7 4 1,3 Enuen.DM. Leation(A.4) FEES co,,,cro
.,1,LIJA SO:REF "GAS t'irLATRIC toRTER SEWER pw„.,,teem I use to.
64;00 6 valErrics VtOA..=LI.ii•ai.et
SIRES, $-----
IR,I OBER watt itt t
ert rOveet t let t we the,tote. 441,1"°
BUIlding
tseett etettleeetttt, to 1 Ott tt ewer,the terostetnits tet dr "Stet,Isto t toctt.lete t t
V.01,tE ant,.cot,'.II,,SEE REVERSE SIDE FOR REQUIRED INSREC710 Pl•robino -....-.
URI,OF 11.1,1 le elltION 1- 4.1--go MNAT -IL OF APPLI,,,NT ..,/ ,.....S.„. Mach, -.--
IPROIAL APPROVALS OFICIAL CONDITIONS:
HAMS DATE Pion Check
.4€4444.ted.
SEPA i
det .pt
.c. ttel3M,../e/pkne.,qr.- tla .__,_tid-orfr-o,'-14,--'
Mobil.How --.... .
I ' (
Oil..IMSIVI
/..---- /:”./('''
TOTAL 5 4.61- 9- 3/;s767 Sre"
•
•
•
INSPECTION RECORD
OWNER LOCATION '
CONTRACTOR TYPE OF WOK
N S E W FINAL INSPECTION: �^ �
SET BACKS
DATE REMARKS: