1979, 11-21 Permit: 79-6950 Inspect INSPECTION RECORD
LOCATION
OWNER
TYPE OF WORK
CONTRACTOR
S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS: 06 itevta
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4.
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/00 !!!/ Oa.• _...e7.00
/ JC/; /„4V 7_, POA RLEGAL DESCRIPTION-SEE ATTACHED . ' •700
Y.'iZ0 t(f L ISU�a.3ie4e�"� -- NUMBER/5 69694
CPBNCR PHONE
3. Lrt a.L .. AL _ 922-/9/7 10647-79
ADDaR�ESS h''�-� 4 RGuulrep Silt Bayer In Geer 1 6 4 7 9.
aw /Yzi /'1�.r 49'12,"7 Rica (Spurn eat 1W.
CONTRACTOR MoONf o P.rul Zone Classification
ADDRESS III . occupancy SPrinkl.rN
JO.oTsc[L� - I ❑C., Off. 111R. a.
Dp16NER PHONE Valuation Eullalne Area In to.Ft.
6' ADORES, _ ZIP OWL A,. Iewment Area ,nm Arca I Slpnee -
CHANGE OF USE FROM ITO Spilt Entry I Split Loom I Rammer
6. 1i
No,e.lna I No.Floor. No Rooms n l Rec.Room
POE 0 NEW LI.,. 0 AWN. 0 RFL 0 WE. 0 OTHER
7. WO 0 SLO. 0 PLIAS. 0 MEOW 0 Kn. 0 POOL CERTIFICATE eo a. I a. glut RN's.
.yOaR of EXEMPTION
a'�9�sd Rla[w RR a GG
Z„¢kiek44ot 14/ E}T r,,.-4F�a.�c� �l FEES COLLECTED
v LUA C `F1•UNA p WATER I SEWER
u �1/J
B, a. Smola E C!`�
1 hereby certifythat have reed and exemined this applNWhave
tijdo
on and have road the"NOTICE.'provision.Included -
Mt Inverse tido,
and know the same to be trop and eerM1et All not.proellIons of laws and ordlnencee governing tm. Sulmin.
tap.,nI wmX will be complied with whether 1 ion, tl herein or not.TN printing of I permit dove not presume
to give authority to violate Or cancel the provisions of any other nate or I law regulating construction or the
performance est construction. //f Plumbing
DATL IG-...Z9-79' SIGNATURE 6`iKe./.i(�1!'1./� yd-z�o \
MECIAL APPROVALS !►IcNp171ONE;
DEPT. REDO. RECD, Plan Cnacx
Env.Naito
P.— SEPA
E
Fue Manny. WOO*.lona
Co.Enelneer
Other lSpacfhl
Ulnln'.
TOTAL ��-�
Zana[lear.n<.�
WHEN MACHINE VALIDATED IN THIS SPACE
selA cnenlm y THIS BECOMES A PERMIT.
dATE......—_." 1-Zy' e�l`ILith i..�itii�i,d. I.p_R SO-'7,9 6149 .7.0 0 ,I