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1980, 05-28 Permit: 80-3882 Inspect-p INSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK NSEW FINAL INSPECTION: / �� SET BACKS DATE REMARKS: C-AiLfr7X-21-As ('-‘, cam. /© C-A/� 107,-- 71-11 2) G�f c/�1 //, G _4(e3 - d r >, I SPO ARTMENT -i- v 1 aeaeaTa ,. ,/ q APPLICA — 3 COPIES 'Fl' G2• •5600 I7 I �yT 6-nF LEGAL DESCRIPTION—SEE ATTACHED •5600 6 suzSDaotvtm.N Ao PARCELNUMEER/a 19551-1917 *56006 Arna41/4.1. 1„ • OWNEREl, I3I I,5�I NS.105, E •000 E 1 Ab .�^ 4 wctnel eccwc In Fan 31 3 9! G}1���/�pTjSt/i" ` 0l6 vane IEoam A I, Owen 04-07-80 Nom•v"If/ PHONE sOe 11 I Zon CI ton + ADDRESS QIP 8? /75PP.nEy R d�I U� e 6479. ova, 0. 0 Rm.,. • DESIGNER PHONE '''''. 10 0 Buiiairrafo.Ft. S• ADDRESS aSP ueea,moor. Oe Ar.. Storm. �I a of D... Plnl.h.d alarm.` Unlln.E.Mm.nt CNA7f Ot OF us.PROM ITO E. No.Bath. I Ne.Start.. 1 No.Rooms �No.of Owelllne. TYPE leNEW 0 ALT. 0 AO'S. 0 RPL. 0 MVS. 0 OTHER '' OAK Y SLD. 0 PLM!. 0 MECH. 0 M.M. 0 POOL ArCMTIPICATt Rp'd. Reel. ret Rued. M EXEMPTION f Location Ar.. b'atR■ WOR Seam.SW, Low t 1 PEES COLLEMED S. �i I lig, lC2. x%r vALUATIc c SOURCE Owe CTRIC _WwyTER ,SEWER arMlp /VEE CODE E. mines l`a••T.I.1 Wit" maw.OhIwM H Single E 1 hereby certify that I have read and examined this application and have read the"NO i:GEpl ovNlons included G� CV on reverse side,and know the same to be true and ect All provisions .s si of laws /,nuancesWilding �F type of work will be complied with whether specified herein n our the granting r. a does nor prasrmlP to give authority to violate or cancel the',WV/Sit-MS of soy other riots mlocal low.. i'm rrnstruehror or the performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO j Plumbing 1 /%�/ DATE OF APPLICATION__at ed. SIGNATUaL Or APPLI:AN/�ii%' G.Z..- Mash. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME GATE Pim Check Aer-P1 41i (u tvr.icr47) / SEPA 1,I L l' pkiblAt.. Mobile Home Co.,IE of.:, '/----(2 Otherlec.alhl //�3/ B TOTAL e�-.1 WHEN MACHINE VALIUATFD IN THIS SPACE. RS S. •