1981, 02-19 Permit: 81A-1509 Inspect f INSPECTION RECORD
ADDRESS
DATE REMARKS
DI -7?1/
2-141J\
CC.Cre, .err
lb
NUMBER r r gj E I -n._.
1 a//7/t/ f p 1 •
$ '°..�y�t' s a" . -3 ,.MF`, HENT
ss :r,rt,"?-.' ryawr ea
APPLICANT COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE S COPIES
. .
ADDRESS
r
,2(e; LEGAL DESCRIPTION-SEE ATTACHED 02. .4400 r.
2.
' I PARCEL NUMRER/S•Z,f[�.,-,14-wSOJ .440Q ro
NE PHONE
.LOT.-1 ,[�L/(/ •440(163
1DRESS
a g2't1 A' S•3.5.-3/.5--Z Ar'F/cv '1 Ilk(rc T: Roo 4 •0.00 8
P/e6D6 L.',�/mIP 1, Actuer s•r Rat a In Peet
CT/TRACTOR ,/ �y lC'k"'�'f'/� Q on k• norm •�coutnw ,.r JJ u',(`yq/�
1506
q- 74./
� [�P9f.QlJ. Size of cereal znw CYr'f upllw9^4<
�• RFss•'` 9.2 io-9:.a•s{ ion x 1�o� Par.ss111 ✓l.g..v4 02-17-81
'7F,ocsIsQ+ G�tar� x{v.rka.o..a__. 49=45 ` I °i^+wnev
nems TYPO Const Ors Onn•DR.n•e. B 6479.
PHONEtion n9 Ara, e.Ft.
6. ADDRESS 21P y.'.4z00� Palmtop
_ I r Floors R a Storage
CHANGE OF USE PROM ITO Aram of Mein Flow I FInIM.a MMment I Un^In.Remount
7. OFPS 0 NEW 0 ALT' 0 AWN. 0 RFL 0 M VE. No.Belo O I r No.EMS. JI No.Roomr r:
of .IIInge
WORK Q BLD. 0 PLMS. Q MECH. 0 M.H. 0 POOLpp OTHER
CERTIFICATE I Receo. R•C'd. /of R•a'a.
O Cqlep�WOgR ..Kene.4 iC. of EXEMPTION
a E m.Dl.t I I A
/ I upon Igrul
4,.. a I O.irfe�R I ELECTRIC
�IATER fKi If own. p ILP FEES COLLECTED
Q",3 R and USE CODE
hookyI certif -Q� .r C3Prrr a 191
Y that I hove r r
nad asid examined this
Single, =
on.reverse side,and know app Icat idt the NOTILh' nrev Bions included `
Ma semn ro be true antl corrncL All Prnv,t iir,„(laws and r..�Iln.nrrel governing thissi
type of work ty be Complied with whether specified 1101.1,.n II,,7hn granting of a melon.rluep riot presume Bu1lAlrte '�'$L 00
to give authority to violate Or cancel the provolone of any nthm s ale nI local I. r lat.,r•.Toe...Action or the
perform..of construction.SEE REVERSE BIDE FOR REOUIR INSP CT ye,NS f a Flumelna
DATE OF APPLICATION_.-/7_6, _ SII;N.% r t1 P T_a_t //�l'
NECIAL APPROVALS SPECIAL CONOITIONC '.I v."
NAME CATE .Q� �/��� V/ nn r/ / ,,/
CTrRaegfh T. - n.+• 1�1-"-_� V/�•4stelet L%aIT PP Pim Cheek
•
r,„,„,e el
.4.4/12../L8 �CILq•� </: ,,,,e it MobA
pp__�JQ1���� '
Mobile Home
le . .., aO.N.p'x-,�cr".L`- e �' T /J°/. Other(Specify)-_,....
olowr
III watt
nth .tl , aX/'je,/ rt 8 a t gJ.q et a-•(J,/(.Z0.CKG4C4!-wsa.�,TOTAL P
YO ry •'Y..k ..lu,aw t EN MM NINE VALIDATED IN TNt$EPACE. •.."1
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