1981, 02-17 Permit: 81A-1285 Inspect INSPECTION RECORD
ADDRESS
DATE REMARKS
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a/O/R/ FR Y NUMBERp
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N 'r'vnE - d .. PMENT
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APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES 446,0r
,.....e..71.0.4011, 618 04. .1 70 ,,`
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wr I ewLR IweorvlsluN LEGAL DESCRIPTION—SEE ATTACHED
PARCEL NUMBERJN .1.7.00 tR
2 O Eq •1 7.008
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Ir(1{AtL IU•SCEti p ala-a4o A .000 8
Actual Sat B I.FBA
1284AE, thb. (01C o E� Sokerne a.t IostCOnjpry�R North
Parcel zone crane
02—OC-8,1
6 ADDRESS - ZIP Type comt. QI...II.� . A '647P.
Druronsq Valuation. I D ❑v.. ❑N..kIO A. t, OM` :.,,..9.B.BCBCP
PHONE
Co rain Area Ins".F6 a
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6' ADDRESS • - .-
ZIP Rim Floor I Upper Floor. pang.Arad I storage
CHANGE OF USE PROM ITO es of Decks I PIn11IM Benment I vivre.Basement
Q TYPE Id NEW 0 ALT. 0 AWN. 0 REL. El MCD No.Bum. I Na.storax no.Rooms Ino.of Owe Ilaee
T w0 U BLO. 0 PLME. (ld MEcn 0 M U POOL 0 OTHER CERTIFICATE Roo a. I Reed. Paot RSR'E.
DESCRIBE WORK of E%EMnTION.
a j
DESCRIBE
OES alNtA 5101)6. Eomo.DAl. ILo tion(Areal
1YM1TFEES COLLFCIED
VALUATION a I ELECTRIC 1 WATER I EwER erma USE CODE
IMTI1;IE,I I s FFabilr0 al
I hereby certify that I have Red end 1hmnlnml ml..ppheahun.old ha.v rued the"NUT ICI I BInEI•
n rRker.R elfin,and know the snna In be tarn and correct All II.r.alnn of lawr ani err: r,1.1 hln.nlnludn,l
ruin of work will be unnllllletl with whither specified herein III not,The "s t notqolreresng this Bulltlinp
to give authority to violate Crcel the4 localalow of a permit dues not presume
performance of w provisions of any other state of low Toni ali��il i olOttuehan or the
pe nce nsuuchon,SEEI REVERSE'' Eo�� SIDE FOR REOUIREO INSPECTIONS//�, Plumbing 41-Lot.)
DATE OF APPLICATION._ ' ,/'/ _ SIOONr\f rrn1 til n101Ier\NT t ee lr., e.,E' Meeh. ;
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME OATS
P...rr.II Plan Cheek .
pfinTo"_--'_.._ — SEPA
ran. -
- .- /.-/ „2 Mobile Home
Other ISPecirylan..1.r ro;oL $ 1 .00