1979, 11-21 Permit: 79-6972 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR 'TYPE OF WORK _,��
NSEW FINAL INSPECTION: "2 / - 79' U`!`i
7q- (s 97,2
APPLICANT COMPLETE NUMBERED SPACES - PRESS H.>,HD TU MAKE 4 CUPIba
I r oe ADORESS
-
igfel
LEGAL DESCRIPTION - SEE ATTACHED
1,614 dlo.
I.J
f
MOH!
PAnL NUMBEa/5
O NCH
3
a AdORan 1 .
: r /�.Zw3 XY.1c l/f.fi�+ .Lt�L.1./'�":'T -
!IP
et,—r,L
AWulrM S.. Ear Fee
no,. Soule ..t Lail
COp 1ACTOR
a1li..r:
AIME
111x. or Dacca! ZonatIWllutlon
E.
AQ Oa[Es
...1.44....,... -Oval
ZIP
TYw Cony, Ouu..n� 6Pr1nFi
ONCa Nara.
DE510NER
PHONE
ValuHlo• •ulldlna Am. In So. F1.
6' ADOAEEE
SIP
OWL Area ■.Mm.nt AM GlacaPa Arai E1orn.
CHANGE OF WE PROM TO
0.
SOIn Ent, 50111 Lay.I 0.ncn.,
0 N■w 0 A, ❑ AC., ❑NPL. 0 M 0 00010
7OF ' w X 0 OLD. 0 PL. AMCCH. 0 M.H. ❑ POOL
RM.CERTIFICATE
, aom
No. ■at0a I No. Floors No. Roamo R o
P.q'd. I Hood. N+o1 Ra'd.
of EXEMPTION
1tp�-�� !
1 b.L �>•�4-c{ �iLC-T, C".
rr[a cost rcrro
Emg4 E
aeetq[
Jktu Eeu ee GA I i-earTRIC VIATICA SWAM
i
Q. uNLGn
11111 1 Igoe IUII 1110 PSEMEIil Inn EYYItOEhon and hill nal the "NCIICF" ...glom IIrhilJ
. ..,,„. rN• Halo to I... l,, �.. and •onset. API Rravl.l.ns .r1 l.wa HMI „..I.n.nu.a IIOHN.mnll INH
type I, will, u".pliod wilh wnnlhm tpnelfIld h[r[In or not. TN printlnt of a Nn, mfr 11011 INC melon!
glvr .. nl any other slate or I I..laullq I. S1ruC �1r. AI n..
qv, nn lllnu is : 1s1 canal IN 0,... wrsW�
! I f,, -L.i:' a L. SICHATVRE r
•„,aln•
Mumbnq
Mel 9
SPECIAL APPROVALS
DEP,. HEq'O. HEc O.
SPECIAL NOIT1011E:
PI CN M
Env. Hann
SEPA
Pummne
woo. Hama
EA. Malmo
OIn•r IEN•F11v1
61Y•