1980, 08-01 Permit: 80-7891 Inspect I-
iN$PECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
.t .-- _
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:LAN NUMBER APPLICATIONIPPAMIT PEWIT NUMBER ,) )
>ti.—,_._ _—,1 gil I. Twof I/I�iLJll(j�L
orOluNE COUNTY—BUILDING BODES DEPARTMENT
..o.........rr•..—,SOG.VANa,WARR INOTON 00E0 1 IRMO ASSZfilb
APPLICANT: COMPLETE NUMBERED SPACES--PRESS HARD TO MAKE 5 COPIESa
0 4 ll .1 1.00
700 F I///'''���gE/ssq LEGAL DESCRIPTION—SEE ATTACHED -
t. _Ot'JGLb1r �T�— PARCEL NUMBER, •11.00
L s vision eRle •1 1.008
Z HONE E .000 B
3, OWNER
KPI f PHONE
Ot�SS r as set B m er f H v 0 H
EE44 ZI
.109/9 `:`1 04,. la..a I. „�Iee' 07—a0-90
CONTRACTOR HONE slag or Perm. t
,. AR-1 HEAT1nl(.a 4 A?Rf D8 2.'Mc. *29-9..s�/ P.mnn,r. oaa.P.n en. .. - 6479.
ADDRESS A 5prmklered
Ea4.5VJEIL6 ,.0c oyes Ono ORag'.
DEET NER Valuation omegas Area In So.Ft.
S' ADORERS ZIP Main Floor Uopar Floor. Damp Area Storage
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CMAHpE OF UN FROM TO Axa of Decks RInIMee BSMmmt Untie.Easement •
Ht..,e e .
. •
n0.Baths I No.Btorlal I No.Rooms No.el pwealnea
AWN.CI NEW 0 ALT. 0 AN. 0 RPL 0 SIVE. 0 OTHER J
7. OF •
0 BLD. 0 ALMA 0 me.. 0 M.H. 0 POOL CERTIFICATE Imola. P.M. Plot Rered.
WORN of EXEMPTION
&I WOgii rO{a,AM •eT7M c�FIM r r� Enum.Om. Loutlpn(Arm/ FEES COLLECTED
VAL�I O,N'ETOUWFCE' RAS ELECTRIC wATER SEWER IIID USE CODE
,9. unILOITIESI x)I: Public,0 Proem 0 Bin la E
• a
I hereby certify that I have reed end examined this application and have read the"NOTICE"provisions Included
on revsr se aide,and know the same to be true and correct.All piovia ons of laws and ordinances governing this Exuding
type ofwork will be complied with whether specified herein ul nor.The granting of a permit does not presume
to give authority to violate or mince'the provisions of any orbit state of local law regulating construction or the
performance of oonetrrsotlon.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Ptomaine
GATE OF APPLICATION SIGNATURE Of APPLICANT —.— Meeh. •
SPECIAL APPROVALS SPECIAL CONDITIONS: Ls,rga^.
NAME PATE Plan Cheek
toe.Health
SEPA
leonine. 4 iiS
S,
Mobile Dame
Fire Merakell
.CO.Engin., Other(Speelfy)
unto.e
TOTAL S/1.00
lcn.Ex....lnar _.