20725 78TH PL W (2).PDFUGATIOL-, & BUILDING PERMIT Appi. No.
MONDS Building Department Permit limit, one year
ION is hereby made for a permit to construct the following work, in accordance with the accom-
�ifid specifications Two sets are submitted herewith for approval.
Off -St.
repair.................. ............................................... . ............................. Parking ......................
Tlc� nnpk— eg T7;r. �nnp
*V�p — -
f CW
..................... .. 6 ................. Blk ....
.................................. Area .................. . . ........... . ......... Septic tank ..................
front ..... br..ft ........ r. side....S.4 ............. 1. side ..... :S� ... ... .......... reaV.,
A A� "/Z - .1 7
.............................................................. .....
Address ............... . ...................................
Tel.
No .............................
Plansby . ..........................
Address ....................................................
Tel.
No .............................
..................................... .
This permit covers work
x. ate ... V ................................. .............................................................
Remarksn._.pr.1.v, 'r
Any const�ruction on the ;-)u domain
............ ............................................................
............ ... El �61i� V 0 -; ... Mla:rtla U IT.7
eto.), will require copa,.ate rermlssi.
The above is a correct statement, and -I agree to comply witchn 01 applicable Codes and State laws regulating this
work.
Signed Owner/Agent.. ...... Address ............................................ Date
.... )_ .. .. / 4�3
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap-
proved plans and specifications, and Building Department notations thereon.
..................... Permit fee ....... ........... Recd.
vai.tio . ........ A.o�...
.............. . e . ...... .....
...................................
Building Department, By ..............................................J .... olltjv .......... Dat .
NOTE — This permit does not cover plumbing, sewer, or electrical installations, inor does it permit any work to be
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and alleys, and plans for future sidewalk development.
�'� �J':T
tN�
RtCO'RD OF INSPECTIONS
Date Passed
Foundation
Plumbing (Partial)
It
7
(R ough) -
Frame
Furnace & Fuel Lines
Final
I
I I I