1980, 10-14 Permit M80B-794 InspectAPPLICANT.
,roe AOORlss ,y i
OWNER
ROOPR 5
f ,r r
�j. `s OHe ❑ R
APaY.f
5_J '
CANtRACTOP _ • ' Mialigliiiilli ®
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FEES CD 4EGEED
AODRES
ElCRifE'MORK
VALUPTION
APPLICATION/PERMIT
T•
8�
�NE COUNTY —oKA"F. BUILDING OTON w CODES 160Ei seaae,e
FFEReox r s>TO MAKE 3 COPIES
NUMBERED SPACES — PRESS HARD SEE ATTACHED
cOMP
LETE LEGAL DESCRIPTION —
a MVE
a POD,
SIMM
Building
pwnbOil
MKb.
Pion Ch014
SEFA
Mobile Hom.
OfM'151..1,0
9
TOTAL T
OWNER
CONTRACTOR
N S E
SET RACKS
DATE
INSPECTION
RECORD
LOCATION
FINAL INSPECTION:
TYPE OF WORK
REMARKS:
ale 1-43