1981, 03-26 Permit: 80-2998 Inspect vr-
INSPECTINTCORD
OWNER LOCATION
CONTRACTOR TYPE OF WORT 1
N S E W FINAL INSPECTION: f`� f
SET BACKS
DATE REMARKS:
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er
r LICATION/PERMIT ,,,______.1,73_ " /f.J t
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APPLICANT: COMPLETE NUMBERED SPAM—PRESS HARD TO MAKE 3 COPIES 07n •5000
,°e<eene
�. F.����� rnllll. LOCAL DESCRIPTION—GEC ATTACHED .Sono A
BlL lelvfn�AN ^^-Ew+ 20971
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NIMES Pd...
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ARORENE ViN A..:...,....... ... A "B 70
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CONTSACTOR [NONE Lha al /exa Clualliullee
ADOE€35 OW Tun.Cohn. OMnlaiN' SBNnBNwa
i ll-.s One 0 neva.
D ESIGNER MON. vibration BUIIIIni Arai In Sa.Ft.
D, A e /..YGG
upper Flours crepe Arm
ZIP M7 Lo o
CHANO!OP USE PROM TO Arm oe Des• Plnlrhed Basement Urals,.B.•.menl
4.
TYPE re NEW 0 ALT. 0 Able. 0 APL. 0 MOO. E.ta. nu. on.. I N..,nuam o.of Dwenl�p•
let 1 [J
T WORN 0 BLD. 0 PLM". ❑SIREN. Al AUL 0 BOOL eTUEn N.CBRTWDAT! R.o'P. •Rae 1. Gln!R.N.
s al Eo IMPTION
▪EBCAIBE svC e.t / Rnum • oaths,(Area)
B.ASIAN, M an, wi IPS RtSIOEUCI ( rod K �2'." ETES COLLECTED
VALUATION Bounce OA I£LCCTnlc sL Pn Sewers OWnerMlo 'till GOO!
itUTILITIES Owns❑0.1u.r.II1 ling. 6
I miry I rir Pic that I hate read end examiner)th.c application and have read the KO •I1-I"movisionvincheied
... nde -
know the same to be true and correct.All provisions of Incas ordinancesrlguv ung des
'kaki,
. complied with whether specilied herein oro[.The oration.;nl., tdoes non nrnetnioro
..eJtho .,...Ante 0.cannal the provisions of any otherstate
or local raw,eytdariny construction of the
Intl helmet 1 ill comtioniiiln.SEL REVERSE SIDE FOR REQUIRED INSPECTIIONS Plumbing
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MMEIAL APPROVALSI easetAL owcetT.uue.
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