1980, 05-20 Permit: 80-4305 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
- c C u (t 41-•`1, 6 [,Jrc
.K.Ar Ae4-'
c� �
.*
FLAN NUMBER ERMIT NUMBER /�
Q MENT •. - EH !�/ a.
NORTH B1I JEFFERSON/fPOKAN e)5
APPLICANT. COMPLETE NIIMBr 1:11-11 ltlt.1'1.5 rl
1 � DRESS .5000
7(20'7 �- (p ill P LEGAL DESCRIPTION-SEE ATTACHED
r 5000
BLOCK SUBDIVISION PARCEL NUMBER/S I Y�1 0� p, w
2 bERv-5 c�PJIN moo. 1-0 LoT8 Pn..2:X--57mg.c- y4.37c1 J .,I =.:
y�ti _ ryc + c',—0 I—80
1 J elaik-f Y�J�I .,Z'Y-I�i� �• 6.13 S in «I ve., K..4.� ` 6479.
0T- 7 5-G,it/ Ale 2014, erth�gActuai Sol apa'south` East 5 IW.at
CON C PHONE 5 cel IODUpn
Al+' ADDRESS ZIP Type Coop, ClocupansY
❑yea ONo amO Rao,.
DESIGNER PHONE , _ mm7 2,d°_$
E' ADDRESS ZIP Main Floor Lipper Floors CiaspLie Arm e.�
CHANGE OP USE FROM IT•
ATOP__ Ka Finishes mart Un1 .B.wm
tit
Ii' 0 ALT. 0 AD'N. 0 ROL. 0 SIVE. No.OHM
TVF[ �/ I Pim Storm. No.Rooms Imo.ul Ow•emes
7. w •LD. 0 pLMB. 0 MECH. •M.M. 0 POOL O OTHER CERTIFICATE Paola. I R.d. plol}H°'a.
WORK I V
DESCRIBE WORK M.DIRt.EXEMPTION
,e.. Crum.DRI. Ilpn(AralI! 4•�I/CI.RI"iFt't* I'Lir. xl G.+ IPJ.x Fp— FEES COLLECTED
VA AT WpT[ ODE
gunuTlE1*�ea Ic .elle onma.r� DORIS e
O o�C[ [LICsT IC ��RG tw!EWER n.rMlp USE C
I hereby certlty that I have read mul c.mn,nad n(,al r,I�,b1 �I{�f.IAI
arty aide,and know the s ne ,+Co tI p ',I r� t.A II Buildih 50'
type of work vol.be complied with whether spe•tied ll ° i.,. Ii,, a
TO pine authority to vlolatE or CBncul Ili,,pr1Vlalo n1 anynthe,. int Irin+n rI„
parhnmance of construction.SEE REVERSE SIDE OR REOUIRED INSPECTIUNC Plumbing
DATE OF APPLICATION — — _. sh,11.,r-;r M.O.
EPEMAL APPROVA IPICIAL CONDITION[:
NAM[ OAI PIM Check
l,I, COCK 5? � 13131.441 ' N k 11 oIJ Nit,
111.—tt— HAIL,
,A IL, [EPA
I"'/l ' t 114
FIs.Marnah — '7,. .eMN)Ilp Harp
Co.Eeve., Mr /�/ O
OtI$peNyl
uuntms 50•
c J
TOTAL S