1981, 02-23 Permit 81A-0618 Inspectr
ADDRESS
INSYYZ;1icN RECORD
DATE RENARKS/
;23 - ( C/rDeF� cic 's /f� �tdi7'167
NunielEn
3
4.
5.
SP
APPLICANT- COMPLETE" NUMBERTTI .1 ..CES • ';'' f-ID TO MAKE 3
JON ArREsq
LOT OILCICIS I SIO3DIVTElk16 ("XII
Io309
eirp.-rodif-e
°TAM
ADDRESS
CONTRACTOR
6 10 309 BrnortWay
grotio"Girl-r0rinr5
ADOIS.S
0.16NER
ilote kyontte Road
ADORE.
-
zu4=1 ,W)
47-4Aft,
aob
PHONE
ENT
676
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S I741
5 _ 151
2.7 IS 4,7,
6.
Acura! Set ewes in Feel
North ISoutn East Lest
Sim of Puns Eon* Classification
Type const,
Occursancy Sprinkler.
1:3y.s Oleo 0 Roo,
Valuation otolielne Ares In Sq. Ft.
8. CHAN. OF USE PROM TO
SIP
Main Floor
Upper Floors 1Garage Area
Morass
Tv'E 0 NEW 0 ALT. ID AWN. 0 RPL. 0 MVE.
T. OF
wonK ISILD. 0 PLIED. 0 MECH. 0 M.N. ID POOL
1255cFr.fer84
WP14/ .1(.0 UTILITIES
..vALarldiriffSISTICE
V 7.
i
ELECTRI WATER
OTHER
SEWER
Owner in iss
Area of Own
Finished Rosemont
unlls. Easement
No. SIMS I Ole. Slangs NO. Room. ro. ol Dwellings
Roe el. ro, Awed.
CERTIFICATE
of EXEMPTION
Envoi. Dist. !Location (An.)
USE CODE
Atolls OPr aaaaa 0
/I.. 1.1.11/1,......./ .11/1..1 ‘1.111. .1 /...•
'I • • ....1,111. 1 bl L IIEVOISt SILI 1-OR 11 uutriepspil:LIXV!,.
SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE
H
AN I
71
FEES COLLECTED
$ t$51.0.12_
ufnbing
Mach.
Plan Check
SEFA
Mobil. Norm
Otter ISpeelly/
TOTAL $41 i0C)
loorninte EEL., 1HIS SPACE
PER IT NU rnA- -
•.saoo
nano 15
•50 Dols
..000 E
01 —1 9
6479.