1981, 03-10 Permit: 80-3462 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
3-10q0
4
SPEAR NOM°ER a ,y j . / PERMIT Nt11M[R
lr .
k M , y " 140-3L�1lo�d
P' APPLICANT COMPLETE NUMBERED SPACES o '[ e J 3 -['ES '
FOB ADDRESS 02• •2500.
1.�',372�3 0 � Qµ[. PgRLEGAL DESCRIPTION—SEE ATTACHED .2500 B
2/O If( /O 711.444.467.4.4.411 q.4.4.46,-' it./4 add NUMBER'S 275�{�f—/D/D •25008
OWNERy..,1,..„,4 ONE /„OT/U .Q.CK/O
3. / 7 n_2„Lr 922-25?.T *rho irk/A/u.FI,H//Seel MODL •Q o 0 8
ADDRESS 7 ZIP 34618
f./.17.'L.'i .3/.2..t L(µ¢--t4j4�r,. 99214 Neste !seem Pao
I.it:s' 1W.RLO'
` �7 E aneCR..Inouan 04-14-80
• *.tADDR6�'INoQ pVz� ZIP NV4SL Ilk AS'X/4.9 oL1. ••I'4l r.J.,A ! 6479
i 74s/r50.....4e#7. s�F+4.4... 942e 7 P.COOP dyes 0 0 im, RPei
IDN[R ,J I Y "77
PHONE Valuation Building qr..Inf.Pt.
6. AODR Y S/ R :`::nit.
._� SIP 'Fain amts stnrpw
CHANGE OF USE FROM ITO . f 0?PP•FIN.n.d 8...,nem In,Bpeem•nt
e.
No.BelotNa.SIorH. I r N Rooms/ flP.of Owelllnp.
P! ❑NEW ❑ALT. ❑AWN. ❑RPL. ❑PAVE.
1
7. OF ❑'THE'
—
WORN O[w• 0 PLM[. 0 MECH, 0 M.H. A POOL CERTIFICATE Rea a Roc d. [501,0(001.
of EXEMPTION
tBCRI[[WORQ TC
&// II r ,r��4�'O� POUT. anon(Areal FEES COLLECTED P`
A r—SPI SOURCE
i..Aell.uo ELECTRIC I own f.
7000 CTIL ES wgTER SEWER uPtic DPW.t.4l USE CODE Single S '...
I hereby certify that I have read and examined this application and have read the D./I ICE'provisions Includedon _
side,and know the same to be true end correct All pi uvlsions of law isii tr,;nic es governing this -
reverse
type of work will be complied with whether specrf led hero!n oI not.The grantee,iii p,rnO doe.not presu Building
to give authority to violate or cancel the provisions of any other slate or local I,e_ r I"meaty cons[,,Ili�n/LIloon�nr the POOL. A OO
performance of construction.SEE
L�-REVERSE SIDE FOR REQUIRED INSPECTIONS y� E�L�_.-- Plumbing 'Z'3 r 1 -a
1 DATE OF APPLICATION rLZ_(y ._SIGNATURE OF APPLICANT T Meeh.
SPECIAL APPROVALS SPECIAL CONDITIONS:
AME DATE
Plan Chock
17? SEPA $
PIN moroseO
MPblls Home .,2—
G
i,.Engrne.r OtherfSpecifyl
•
LIIr�--`a--_ TOTAL S...12.61 -'P
WHEN MACHINE VALIDATED IN THIS SPACE. `
SEPA Gnecl.Iist THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE fl11 Pi"-Rn idR.R7 •RlAOOJ _