1981, 02-13 Permit 81A-0984 InspectarvnAryE COUNTY - BUILDING CODES DEPARTMENTq�,[,
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APPLICANT: COMPLETE NUMBERED
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LEGAL DESCRIPTION—SEE ATTACHED
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Cf/ No. Room. No. of pWIllrlry
WORK OeEa. D PLM[, yy MECR. ❑ M.H. ❑POOL o OTHER
yn CRIBS eu AR CERTIFICATE aa.•
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ELECTRIC WATER e[W!R� FEES COLLECTED
✓ST�OIULIRTCIEELebPN�OlAGeafs
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I hereby -r> t.y that I have reed Ind examined thio
° dsi.,End kCOw the Ieme to Im efue and correct. All provialOna melutled slnple E
epplicatlon and hevn raatl the "NOTICE"
type
DI work WII he complied wlth whether epeOilied herein ur
of levee Ind mtlmannl powrnmy thu
to yon eu thonN T
not I
does not BuRdi,
[o violate or cancel the prlwiaione Of any other Isere or lOcel law rel Ble I.—�
performenct of tDnetrudtlon. B B gEVERBE BIDE POq y comeructro,IN
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gEOUIRBD INBPBCTIONB ch.
DATE OF APP / 2 % ��
LICA TION
SIGNA PURE OF aFPLICgfp
"'°`--'SAL AIPBEOVAU r SPECIAL CONDITION[: – Mecn'
eeMe< DAT[
Pbn Chxk
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ne nor Mo ila Home
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TOTAL S %OO
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INSPECTION RECORD N
TYPE ur nvnn
CONTRACTOR
NI S E W FINAL INSPECTION:
SET BACKS
REMARKS•