1982, 02-10 Permit: 80-7244 Inspect 1
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:+ t / // / /'
' II NUMBER -.+J '1F'f n y Fri +1 fh *.1 II b .. ,1+ t ~ A
, '. ,,,e•31 NGtmNneAM361W,`w666 '4° °' .7411#r*'A''._,.E».
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES 02. •2500 a
./oe woon[2.nss (�"r ,(oaf LEGAL DESCRIPTION—SEE ATTACHED •2500 I'
1. LDT'SBLOt 0 It or. PARCEL NUMeER/5,2 .03_/9�" [2500
2.S' / 11 �•C(�- PHONE .Lois t3,(K/ 'T E •000
OSE' 72432
a 'If,LQ L G 928-4//1 A�3) RUEACS wvn
DRESS ) y 0IP set BooksmP y / / 07�1I*80
/?LT/ a". As: cza .,e p4o ft.L 9°.z' Nertn ISavtee26 L nit5g Iwe•t j0
�pXTRA TOR HONE SzePlParcel , ZoneCl•Nlllutlon 2 6479
* /r./ePns�i9EA�antic�a.0 K� 9.2 ,5279 /as'x/�o ufL,d�G
ADORFS9 ZIP Type ConstOmupencr Sprinkler.
IrmA'? 44/ fo.A.ALL.IQd.,.11�pe .,... 99246 DV. ONo 0R.aa.
D I ER ONE rn
���m�Q Bullatne Area/ins,.
6'wRbDREr ZIP M / upP«Floors Garage
yy Storage
`CHANGE OF USE FROM TO Area of Deck• ,flat:M Bauman!I„Unllp.Basement i..
0, .1C1Y '�a��y�a�� Jo
Illy" ''i
No.Baths Na.Stories No.Re No.of OwHllnez ,
Ty. ❑NEW 0 ALT. 0 AWN. 0 RPL 0 WE.
J, OF 0[LD. 0 PLM[. 0 MECH. 0 M.H. ,�POOL OTHER CERTIFICATEI. Read.Rooms Reca. I�t d. l'
WORN of EXEMPTION rot
a
E,:past I1,71vf . Enum.DIR. Loudon tor") PEED COLLECTED
10 OURCE Gw5 LECTRIC WATER SEWER Own.rehlP USE COO[
//JenD TILITIES Public IU Private� Bugle S
Ihereby certify that I have read and examined this application and have read the"NOTICE"provisions included
on reverse side,and know the same to be true and correct.All provisions sat laws Snd oldinancea governing this Building
type of work will be complied with whether specltlnd herein or riot.The granting t a peimll does not presume fr
to give authority to violate or cancel the provisions of any other stale or local law regulating construction or the
,„performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION �"'' Plumbing
DATE OF APPLICATION 7`/�.�� SIGNA lunE r: APPLICANT ,(/_._ � Mash.
SPECIAL APPROVAL SPECIAL CONDITIONS: Plan Check
M[ OAT[
�/ SEPA
Plena n / / /i/. �v ��
Fire Marshall / l\ MoGI HMarshall
ome
PDD k Iv
Co.anent., Other ISyeclrn)
TOTAL S.2 5
Pa