1981, 02-24 Permit: 81A-1552 Inspect 7 _
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ADDRESS
DATE REMARCS
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NORTHe11 JEFFERSON'/'s'hd �*/E 08880/16091 I6A0876 !`(A}' r
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES /`
JOB A505003 LEGAL DESCRIPTION-SEE ATTACHED i)%" •.50 00 P
0' PARCEL NUMBER/5 •.7'.1),,n B
� 225K2-2l70
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a O'K/.F.t.QM(/ a 7N.1€H4) qp A-S-2� Aclu.r Sot Ratios In F..t '.-
. 0 0 .5
ADDRESS II•n ., d / aI S '�. n
CONTRACTOR fl �P4AA.nt 94?leis .tel parcel lsouth381 aft.Z(p
Earl cpspnopo" 0 2-1 7-81
/l PHON£ So1..5.x 2p/ uul1. .au-ii.-.
1. p'Rees zIP co.. I Occupano. 2 6474
dAwaxt. S N H-! Dees Onor0 Rena.
DESIGNER PHONE g j'
6' AD DRESS LIP Main F100, upper Floors Garage Area Storage
76,4
G„ANGE OF USE PROM TO Area
of—Decks
1 Finished=Tent am U No.o'sornont
Ow.IHn9.
a.
Baths No.
TYPE ®NEW 0 ALT. ❑PON. 0 PPL. 0 MV E. o OTHER R p.
7. OF ...CERTI SKATE sI R«'g.a Rec'0. yY010.
01 SLD. 0 PLANS 0 MECH. E1 M.N. ❑POOL II
WORN of EXEMPTION
o ePieE WORK Eeum.OHI. LOMUpe IAEMI FOE'coi.ecTEO
& Y � /JC;O lots IlitittA[Ei C 25411 W Ell ) I use co.
7 GM ELECTGI ATER �Y EP pµn•r.nlp
EL �GDB TILITIES I 1..yrE1L 5....aP.....A single 5
1 hereby certlty that I have reed and eoxm rut tr.s nppl;Cnhun an.I ha.x re.rd h,,"NOl IL'
'.ruons I;Clud.1 IQO
oe reverse side,end know the same to UC true and Collet,t.Ali in ovis;UIn of laws and to leo.n,.r>ynverrring tris eulldlnp ��
type of work will be complied with whether Htee.Ned hxrxrn.rr or,,_the elantlng 01.I i)",,,,tilts,All presume
to gree authority to vlol.te Of CanCel the pray*,els Al any uthe,sla.or local law.00,1a1,41 •rAAHochon or the Prumbinp
p•rio:.,.nex of construction.SEE®REVERSERSIDE FOR REQUIRED INSPECTIONS 1 n, }�i�
DATE OF APPLICATION�Tl4-_ .—T- /91UNA I UNI to AIILIC AN I'4_{,),11.M.o C__At^'Y— M«tri
SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Cheek' NAMEe DATE
i1� SEPA
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Mobile Home
n.Marshall
itiefisaint
ayD / ���,._" _ __ ,c„ e 4ts�27omit ISP«til
Y/ t)!/�Q. C6`Q-P"' �"�"` TOTAL S 6-
E riser
,7:11711,,,,
-�/ r e IWNENMACHINEVALIDATEO IN THIS SPACE... ,,, 't.4
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