1980, 05-08 Permit: 80-3894 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
yF oo r/niG re-04 �,4 fr`eo 41A,,
4
7
NuuRu .t, rL., , r _ _-_ ._______,,..,:ii,,,, ,e
..
. . .
p9 q APPLICANT: COMPLETE NUMBERED SPACES-PRESS IIAHD TO MARE 3 COPIES 02• •2200
JOB ADDRESS
Li'co•Y4LDC 44q--- PARCEGAEL LDESCRIPTION-SEE ATTACHED 2200 G
BEws / 5�2.-200L 022000
2 `nER !1 Geu Lai U- L.OTb 431.-K/ [ *GOO 8
a` .(7dl.,G. 9.2.8-9 LSO AtaAlAs In F/sr ADD • zEGS.
C.:// 1...9 .9,54,a....,_. .� ,u[_ 992aG a OM1 b SeZIP Actual MI'k[boora E.R-'y lw.t /3
TR/ACTOR HONE r ,rc on 04-23-80
4. O,eft4. 595u;tf./ ,rt t..y .. nw.i.[,�r.` A 6479.
AgpQESS ZIP rP.co... o«ep.ev ❑v., ON.k 0 e.o'a.
DESIGNER PHONEV aluon I
1 Se.Ft.
6. ADDRESS ZIP Mai k0"ADDRESS Upper our. O5D�Zr••f StoNIN
CHANGE OP USE FROM TO Arm of beck. FInl.nM m
B.Nenr LIMIT.Easement
e.
TVP[ No.5•10. I S� o. No.of 00.111,0.
), 01 NEW 0 OCT. 0 qD'N. ❑RPL. 0 PAVE
O OTHER t
WORK 0 RCD. 0 PLMR. 0 MRCH. O M.N. 0 POOL CERTIPICAT I� I R.o .eOT•.iE. PI i R.p'tl.
' of ED%EMPTION, 1T.rel.K.,, I o�
pE WORR [num. 1
6, a TEES COLLECTED
LVALUAT1 SOURCE OAS ELECTRIC WATER Ow,'nnlp USE CODE
6. UTILITIES SEWER Po c 0PR.l.g Single .j\j,.. \01,
1 hereby certify that I h d I d t1 pl t d 1 d f luded /V,i
On s de,and k h I t d ..t.All 1 - i g III ill. .
NP eofrwork will becomplied with whether.I 1 1 I If..gra ting BullA �.Z
to give authority to I .I yrov.i y other. ,o oc I /1o..
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPE• I s '/ Plumbing
n�I7i /
DAIe0 APPLCAI'ION,�- 9-,pO _.__:. ,NATO ,�/.`,'1�//o, Moen.
SPECIAL APPROVALS SPECIAL C•NDITN � " ��O'' Pion Check
/
NAME, DATE
SEPA
Mobil.Horne
ur,rE gr ee�— I Other ISoeelfyl
S
a TOTAL S-Z.�.s R .....•�