1611 OLYMPIC VIEW DR.pdfiS
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pT10N `/s BUILDING PERMIT (\ Appl. No. ...... &.s 4'ry
NDS BuNing Department Permit limit, one yearn
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�te'hereby made fora ermit to construct the following work, in accordance with the actor s.
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specifications. Two sets are submitted herewith for approval. zr !
new Falter �Leta.� f
O f St
f ..............Parking
repair ......._.... ......1
1 cy ............
Const. type ......... ..... ..... Use zone: 't _ e� �— ... Fire zone........ ...
Addressy e�U .v...............................Tot ....._............... Blk ........._.... Addn...................». E i
wV *t r1 �z $ T3ot frontage Area ......... _.. Septic tank
* 7t LG 3 s Blsig 7eetkacks —front r side ...... I side rear
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i ` cGa c %—���u'r(Address /�t,1/f. �r�i��'e••• •• Te.
No:l� �4L!:.Own
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Address..../oC�I el. No..1I f
Budder ..
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.' Adds ... ............ ... ...._... Tel. _......`.Pansby................
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Remarks.......................................................... ........ ..... 5 {
The above is a correct stater and I agree to comply with all applicable Codes and State laws regulating this
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work
Signed Owner .............. ..... _. ...... .... ... Address........ .. .....:....... Date
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PERMIT for: the above work is hereby approved, subject to the above conditions, and to compliance with the 'ap• t
proved plans and specifications and Building Department notations thereon.
Valuation ..... j.t".?.... d= ZlZ�...........:... Permit fee .._?r e.Q......... ... . Recd. by
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Building Department, By:...'....................._........ Date_._�]::.... ` <
INSPECTION RECORD' 1
Fdn, OK ..................._.......... .... Fume, OK ..__...._ Pinch OK .......... _.......... trv`
This Permit does not covet- Plumbing, Sewer or Electrical installations.