1980, 02-13 Permit: 80-672 Inspect INSPECTION RECORD •
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
"Z-,0r- Si oirQS FaP '- 6y 4 � ,. .
.2
/ .119 k �� #g
4
_ _ .. -
T
'LAN NUMBER A PERMIT NUMBER
.-fir- ..
86.672. �%
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 4 COPIES .,.
ATE I—Z94R .
02* *38b0
lE o�A 7/�N.s�Sb"I i-A�
LEGAL DESCRIPTION-SEE ATTACHED *38.00 K
d� rs.i •
.y�a_gn7q .38008
2. BLDL - 5w1 'I5 ,5 w$EXC,N.5'750
OWNER n PHONE d,�AL• .,�� PKC.W.//d''h EXC.a•3' E •000 8
3. DRESSnu./.B4�� 9-Z�-hB•SS-Roos,.a Sot a. .In Feel r 87 1 A
ASP
�♦ S09 �/f.wea1.-44id. i,r tl.. 99.2.06 No.,,,,6,...1- spum.9A �ut4.6,4 IwI 0I-29-'80
C.erTRACTOR / PHONE aR.of P<rml Sone C1M.111<.tl<n
�.
,�oAaiI r. ZIP Type Coml. I o«.P.n<r Gl4/ ;m1'ti 'r . A 6879.
n 0*.. also0"AgPAPA].
DESIGNER PHONE V lu.tIon " Building Ar..A Sq.Ft.
5' ADDRESS __—_ _-
. ZIP owt A.. 1 B+..mmIA�A,.... 3- �AArr ator.0. -
DHANB[OF USE O NoSR+..11 JL Rancher m
Q
TVP. 0 NEW O ALT. K ADIN. 0 RPL. 0 WIVE. Ne.Fleer. N.Jt R wee
,SRN 0 QLD. O7. OF -I CSIB. ❑MICH: 0-M.H. D PDO. D OTHER CERTIPICATI Pao d. Roc d. ror N'd.
of EXEMPTION
CRIB[WORN
R RY ry�J�1 ^ A,"� PEES COLLECTED
.I(I .fA'/`'1c• LECTRIG WATER SEWER
3en
dr
Single $
I hereby certify that 1 here read and examined this aPPllca6en and have read the"NUTICkm mons Included
on SIand know the sa o be tr and co rect.All Plo,smns of laws and oolm.u�es governing this Building 30D
8
se
yP ,.f
. r II 1 omPlied w01 h IPC./fl.f 1 _ I not_The Tamm9 of , y
glye h Y v olate r cancel h 0,15 f- y her state nr local cul nyrJkle
Pee rform f traction Pum e
DATE Q SIGNAfUHE V Rao,
SPECIAL APPROVALS SPECIAL CONDITIONS:
ry.Hrltn _--'/ .O Plan Cheek
EnQ/nY SEM
Planning _ up
up
Ira M•Himil NAG.NOT.
Co.snows*. Other ISCOiIDl
D
vl.nn.. TOTAL $.3A O
zee.CirApc. N .. l,I AI I
WHEN MACHINE VALIDA TED IN IHI