1981, 03-20 Permit: 81A-1816 Inspect-.- _ ___ __
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INSPECTION RECORD
ADDRESS
DATE . REMARKS 1
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}1LAN NUMB?R C N/PE MIT PERMIT NUMBER
-207 . alsgS/p/ uvort ^f,^ CODES DEPARTMENT Emelt•1916 /^yl�`r •
SP.. i reDKAatEot 4 Rr#40010/ISoal aea3". 1 1
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tI APPLICANT: COMPLETE NUMBERED SPACES PRESS HARD TO MAKE 3 COPIES
OC/ADDRESS LEGAL DESCRIPTION-SEE ATTACHED
1}LOT SDdo VISION PARCEL NUMBER'S 0?* '.31000 •
a A 1 5EDAN'S ADD tttoN 73.534-0 ZO4 .31000 5
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PNONE
a NERnQEtfJ 111,?F_ARES CONst. cid,-83V •3100015
ADDRESS 14102 �1'4izla «rm 15'Bac.
vi' I so lid Wast 2DD '
S% ° *0 00 8
CONTRACTOR . PHONE Sias of Parcae Zeno Classification b 59#
SAME i60 X 151 51NULE M'Novi
4, ADDRESS ADDRESS nP Const. Occupancy Sprmhl.rw 02'-19K81,....
SArEE IL\I R-3L M•1 ❑vas Oda O.Ft. V 6479.
DESIGNER PHONE ' 14,ri` °Ieli 0 _.
aT6',REDRESS IIP Maln Floor I Upper Floors 44 ft IJ Storage
tql —
CHANGE OF USE FROM ITO Arca—_of D•cha Finished SaNm•n[tt p Unlln.Basement
a m 1724
No earn. l erd.seeeI.s s U.of owellinea
TT"' NSW 0 ALT. 0 wade. 0 RPL. ❑MVR. A I l I N(O Rooms 1
❑OTHER CERTIFICATE IMO. R.c d. rye14p'!.
WORN OE OLD. 0 PLMS. 0 MECH. 0 M.H. ❑POOL of EXEMPTION I 1/
DESCRIER WORK- enum.Dist. Location(Arm) FEES COLLECTED
a.nthiaEt FAmILV Roouvu.
A MA eOUhI occdow, SLE PIC WATER SEWER s n10 USE CODE
' 9.59552 tnluilEal SEPttL. Pveuc°Privat.CV Single 8
1.Mreby certify that I have read and examined this epplice"On arid have rued the"NOTI/'.E"prs.visions Included
ol,retina side,and know the same to be true and correct.All provisions of laws and u,dmances povernlnp 0113 SviWIrM 310.00
typo Of work will be compiled with whether opacified herein o nil the granting of a pa1111.1 does not presume C
to give authority to violate or cancel the provisions of any nl1P,slate ....al law regulaund or the
IWrformenee of constNotion.SEE REVERSE SIDE FOR REQUIRED IN METRO a Plumbing
NATE Of APPLICATION __2.L._11_J.-_CJ.1 SIliNAIUNt III 0010 # . Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
ME DATE LICEf`FN:'64_ 11/isle) nen Cheek
a
43 BEPWA —
4 ✓ Mobil.Home 4
Ire Marshall -
"APPROACH PECMI REQUIRED" co.Isp.clfol
S.angina.,
.e15, 6 -Emig( r CAllliN County En(IONfas ORp I
ifnl I.s TOTAL E 51b.Qo
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