1980, 12-04 Permit: 80-9527 Inspect INSPECTION RECORD
OWNER) LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMA KS:
1, tr4
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NUMMI J n^ APPLICATION/PERMIT J 9/�OV PERMIT NU OER 1
f4 ND4TANE COUNTY ow BUILDING CODES D(PARYMCNT —�} �7 yIiiilliNONTN all JEPPEAEAN..4_,,,.,„.„•„,,ETVN111100 r I0OSI4EA]STE
APPLICANT' COMPLETE NUMDEn ED$PAGES—PRESS HAND TO MAKE 3 COPIES e
0 DD Ess 0
'13 4
1,...-TeLEGAL DESCRIPTION—SEEATTACHED r;a +380
W OLULM1 SUSUIVI I N
PARCEL NUMOER/E �q
'3000
x �R.ngl � CJe ARCS UME 153 e_ ii .' 1,In�l/� E3aoo1;
i Oil reit,' vn
P R� � z590 bra __...4--I �F .000 s
r I 12.—f I') :” NOW MI EICkt In Gaal C,_.�,a
. iF 3
<o � o_E s1 ze➢.�la..ln�,la' 7 o a n 2.-m o
4. ..00naaa 11z t)C 360 Iq tom. G U 7 9
PLUMES, SCrinkl.r.d
...SIGNER o” P.Con. I ❑.., ONo ❑n•e'a,
E' AODRlss h ANE
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.i. 5�?� ewlglnogru In Se.Ft.
MP kn.i„= Game
I as
CHANGE OF USE FRAM Iro 'oo, (�
6 Area o==k. I r, .e .»m.nt I um.bBeMmant
7. OFeF ar w 0 1.T. 0 Aw•N. 0 NPL. ❑PAVE. No.Bath, I No.S,.n o.neem ee
WOAN WILD. ❑NAO. ❑MECH. ❑n1.H. C]POOL 0 OTHER CERTIFICATE •• Reo'd. I ,R I no a'atwpall�ln
OIFC�I14 Se EXEMPTION
Il ru✓ �a.
E. n(•t� � Cl.(-a -) Enum. ,. oullon(Area) i
V LU TION I�— XJ I L FEES COLLECTED +�
ELECTRIC I WATER E E GCpE ik.fI
E. UTILITIES( t .1 11G Pumic❑p
rleme 1 hefaby Certify tile) have reatl and d tl 1,p, rvipl Ow PRI, '.I In included Sipple E
Ori 1111/ENS Bide end know the same l - ,I ,I t,w. t.•'/9
'
NM of work will be complied MIN pallier I 'lI I 0 J �''-, •
,
to•Ivo EuthorIty to violate Or Onncel h p le n le I 1 Building
1 ,t''d l I I eCllll. /
III law �ii.n Il nt n�.. 11,.
Par ormSlae of oonaiructlpn PPP PEPE REE 81D[FOP REQUIRED INSPECTIONS ���
PIOmbInS
DATE OF APPLICATION 9/9/ __Si NAIUn, . 'AN I
Mbh.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE PAM Hann r '�or I NC�IIQ. Plan Check
Elinnlna OEM
IL.eaer.MB
Mebll•Homo
a.Enelney,
Oma,(Specify)
111111•, JJ....
,0011•115 EPa,11nee _ a 1 TOTAL $