1201 NE 94 St (2)By
CER11tICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been inspected for purposes oFre- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single - family residential purposes.
PAGE 2 OF 2
MIAMI SHORES VILLAGE, FLORIDA
Date of Certification:
THIS CERTIFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERN/LNED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAII•NLNG SOLELY TO THE REQUIREMENT THAT EACH
ONE- FAVIlLY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON T_ E
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMNE THE CONDITION,
THEREOF.
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
to re- occupy the single family residence known as : (address)
Miami Shores, Florida.
Legal Description:
Lot: j Block
PB &PG: —/
I hereby certify that I understand that the zoning of the ro e
and that it is unlawful for more than one family to reside therein j I also understand that any l use
Certificate of Re= Occupancy that may be issued by Miami Shores Village, certifies only that the
referenced property is being used for single - family purposes and that such Certificate does not
constitute any representation, warranty or certification as to the condition of the dwelling or other
structures on such property.
Applicant y ity,-- Date
Print Name 4
��,4_ _S (•,( P�4111, ,� r
********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * =x# ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Inspected b
Comments:
PAGE 1 OF 2
Application Fee (S50) paid: Cash Check No.
Approved Y' Denied
hereby apply for a certificate
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: (,—/-71DS j O 1\1 'ILL__ Telephone ,
- s 1 7S - 55' (
Buyer Seller Realtor" Company Name S f (1,_‘47(.1
Owner's Name and Address
Disapproved A Date
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PIERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vi:lege. Florida. and all provisions of the Laws of the
State of Florida. all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
if3- fe ifC
Date 5 - ( r
No 1-' StreetAZg
Registered Architect and or Engineer
Name and address of licensed contractor D i x/ &1(/ p (J` j //6 5 ✓ / 6 • ����'. ,
Location and legal description of lot to be built on:
Lot / Block Subdivision ail ylJli -v�� 1/ ,3 () 8' / ‘'
Street and Number where work is to be done /AV /U/ 9f .f?
State work to be done and purpose of building (by floors), state exterior colors (submit samples) �� - - a74,-/ <i -'
and for no other purpose.
New Building Remodeling Addition Repairs_" No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements S K od Amount of Permit S
Si ,' _,
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
Notary Public, State of Florida
Remarks (Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's
Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and has complied with the provisions thereof. and will require similar
compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection
on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors. on work to be performed
under this permit, as are licensed by Miami Shores Village.
to me well known.
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction. that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true.
u
Permit No. 6 9 / Date /� Read. Sworn to and Subscribed before me.
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship.
MIAMI SHORES VILLAGE
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address..
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Registered Architect and /or Engineer...fr'l—
Name and address of licensed contractor �- ; ' • * f t TC
Location and legal description of lot to be built on:
Lot l Block Subdivision } y t fit ( i.'
!, •
Street and Number where work is to be done
Date
- -:,3 '1 `r. , ; G No Street
1
K C�
,19
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building fir° Remodeling Addition._ Repairs No. of Stories
To be constructed of_ P..._l't ' Kind of foundation 5 ? ; Floof Covering
Estimated Total cost of improvements $ Amount of Permit $
+ /I i s r �7
Zone cubage required Plan Cubage : .E__ / <`i 7
i7
Distance to next nearest building Size of Building Lot___ k
Maximum live load to be borne by each floor
el
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to__
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village. 4.'.: r ° 0 • r
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
f
' E " � '
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved y _ Date-
7 Notary Public, State of Florida
(Signed) �. 'L y -e.
Building Inspector ' -- My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member ._ .._ . Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
/ fr7d5
a
92e? z
U
56
e21, A a e-
= //47,?? xivcr•
•
APPLICATION FOR BUILDING PE:RMIT
Application hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
lug or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Sh.; -es Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept a. building during progress of the work.
Owner's Name and Address
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date % , 19. [ ? L
No Street
Registered Architect and /or Engin - , CC /-La
Name and address of licensed contractor - -
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
- �. 4 .
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ _y^> 4r. Amount of Permit $ •
Zone cubage required plan Cubage
Distance to next nearest building . - -. Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Genera;. Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontra on work to}ie performed under this
pennit, as are licensed by Miami Shores Village.
Remarks. (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. J ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No (Y"' Date
Disapproved Date
(Signed) .-
x.11 -tea
1
Read, Sworn to and Subscribed before me.
Notary Public., State of Florida
Bditiing Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member ....._ Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- s1etion is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
.
TO: THE PLANNING, ZONING,& BUILDING DEPARTMENT:
Miami Shores Village, Florida
"I hereby agree that the pool being congttructed on my property at
1201 94th St., Miami Shores, Florida will not be filled with
water until the proper and legal enclosure has been erected around
such pool, and final inspection made and pool and enclosure approved,
and said enclosure will be erected simultaneously with and prior
to completion to the pool, and in accordance with the plans and
specifications submitted."
PROCESS NO.
BUILDING
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
0
Owner of
Building f% ...P"
Architect
Contractor
or Builder
Legal Lot"'
Description
Address of
Building
1,:z0
MIAMI SHORES VILLAGE. FLORIDA
PERMIT
( �
j4
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances perta :ning thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or spe ications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: !' BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In acceptite.this permit I assume respoyibility for in work done by either, myself, my agent, servant or employee.
)11 'Le; .$(
CONTRACTOR OR BUILDER
4
Work to be performed under this Permit i
Subdi-
vision
Sq. Ft
Value of
Project $
DATE
ontractor .�
Amt. of
Permit
BY AUTHORITY
17
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shares Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Disapproved %It
(Signed)
Chairrnan
Member
Member _ . _ .
Council Approved
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of 51.00 will be charged
materials and /or workmanship.
MIAMI SHORES VILLAGE
Date
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done / •/ f✓
State work to be done and purpose of building (by floors) ?
making corrections
when such re -iosp
.t�
u
r-
Date , 19. T
Owner's Name and Address f¢ sv� l E.,-) No / 6/ Street
Registered Architect and /or Engineer
Name and address of licensed contractor L z £ _i i
5 j j2 , c'ddu
Ce,_
.�+ •— /2 yr r/
.J _ / 4-; I •k L. .__ �i: - i•r -t- �' y �.kl ;.
and for no other purpose.
Ncw Building Remodeling Addition Repairs No. of Stories
To a ' constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $_ ,. '" ' '
Amount of Permit $ `•
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to ._
The undersigned applicant for this building permit does hereby certify that he understands ;and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed render this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks ( Signed
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
- Building.Ihspector My Commission Expires
PLANNING BOARD DATE
Member
Member
Member
E sapproved Date
r changes to this application after approval has been obtained from
tion=is made necessary by improper notice for inspection or faulty
N++
A
Date
Legal Description
Owner's Address 1 - / - 0 OE. c't
Contracting Co. NtbrYli kyDr PIumY t r 9 Address_,(') j'J\N LD (V
Qualifier 'D°_m( s Mg-aught in SS# - 7cio3 Phone ( 6) —1- 2M1.4
State #(F(J2 t cpo5 Municipal it C.fCU(g2O Competency # rFCL)I I.ns MCC!) r - ncL J •
Architect /Engineer Address `J
Bonding Company Address
Mortgagor Address
Permit Type(circle
WORK DES IPTION
\ Q 2s
Square Ft.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize e above -named contractor to do the work st ed
Signa
Date:
Notary
My Comm
** *
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/ Lessee / Tenant
*
./ ht.!'
14a`4;!!1t1.. Ea p 'f pASOP
* ExO3't 4Y HAI
800 - 422.1555
r
Job Address 1 1 � .% L �f J Tax Folio
one): BUILDING
•
(kN, J
L
owner an or Condo President
VILLAOO
o President
FEES: PERMIT ! RADON
Zoning
Mechanical
Estimated Cost(value)
* * * * * *
C.C.F.
Master Permit # 2
Phone �� ' f 2,c'0
ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
cN
1N1 L
S gnature o Cont
Date:
Notary - s
My Commis
NOTARY
r Owner- Builder
raptor or Owner- Builder
LORIA E SUVILLAGO
pl .onwnission CC308759
* Expires Aug. 18, 1997
Bon es by HAI
800-4V-1555 * * **
TOTAL DUE
Fire Other
Buildin
Plumbin
Electrical
Engineering
MIAMI SHORES LLAGE, FLORIDA
( lj
EIECTRICAL BUU DNG
PLUMBING w w�
TE
u PERMIT N.
. y a �,c
Lic
ROOFING ❑
Owner of
Building H t
Architect
Contractor
or Builder
Legal
Description
Address of
Building
o
Lot
17 't
4
Bl.
.t ' f ` ,
Subdi-
vision
Sq. Ft
Value of
N '
Project $
Amt. of
Permit
Work to be performed under this Permit
This permit 1s granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal autho ities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. Affurther condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough kOnowledge of the ordinances and regulations
pertaining to the work, covered hereby whether shown on the plans or drawings or in the statements or specifications \and that he assumes responsibility for work
•' done by his agents, servants or employees.
/
Signed: ilk. , N � _.,,,i,.M,4. .L .r � a _ • v_ . $Y '
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered eunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In acceptinpthis rmit assume responsibility for all work done by either, myself, my agent, jrvant or employee.
• C" 'a . 1 e
.1 4 CONTRACTOR OR BUILDER
.e,1
BY
AUTHORITY
OWNERS NAME PRESENT ADDRESS
1' N 1Z L�1.l r,47 ».u) . `79 J
LICENSE NO.
PHONE NO.
40 B LO N (ST. OR AVE.)
j /4. ■ 2 1
Z .z..., _
LOT
/
BLOCK
SUBDIVISION
m i4-.-✓+. e , S , cf-aoe e= h' JC G
GENERAL CONTRACTOR
L ccr 7 C .� >sz ��
ADDRESS
/47 N- ,c -A 6,
PHONE NO,
LI NO.
..----
BUILDING PERMIT NO, 71 7
�
DATE i 7'S-2
erJ"
PERMIT FEE $ Sb
BUILDER'S BOND
r
NO. 2.4 O 3 DATE —i1-.1 S
a'
ZONE REQUIREMENTS 2 O .,_, CU. FT.
PLAN CU'BE 41, 115 CU. FT.
vo® /
EST. COST $ -
Q-- /
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: 1 "4. &'4 /L..c... L
DATE.'
NEW CONSTRUCTION
TYPE
C 1a
STORIES
® a-,-
ROOF CONSTRUCTION
�.
INTERIOR CONSTRUCTION
Z Q % d O 2c -a..� - L ' � ., 4 7 i 3
REPAIRS
DESCRIPTION
a+ �,� ON
1 C.:52- 2 f+ _ L. v r t.,, S , 2L C. ra-S 1 YC.G"'�'/ te r T-,, G t CLL " L t C_. C
ALTERATION DESCRIPTION
ADDITION a l1 c c 4.- ...._ � Z{1-‘3*t LW_ V✓ ✓\
SUBMITTED TO PLANNING BOARD
APPROVED REJECTED REFERRED O COUNCIL REASONS
I _ .� -I 4.. ,�0 Fr`i -- �� w • ,... .w II is yo u
AOp�7 -� "�Z_
RE- SUBMITTED TO PLANNING BOARD 17 .4's �ALaJ Of p 4
I
C. �� /73
/y'� r
/f
tS7 cosy' -Vier
SUBMITTFr TO VILLAGE COUNCIL
REMARKS
e, ( ■• e. 3 ..
CERTIFICATE OF OCCUPANCY NO. 1 p e ` ISSUED
' . .z
BY
�i: _
At M'6-- 6.. � .�W..e
TO
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
-7-ROOF
INSPECTIONS
DATE
BY
FOUNDATION S
SI t. " f�/�,
BEAMS & LINTELS
SEWER
POOL
SOLAR HEATER
I
FRAMING
GAS
I
AIR COND.
$
MOTORS
FINAL
INSPECTIONS
DATE
CLEAN UP
RE- INSPECT
BY
SLAB
BY
ROUGHING
5
SLAB
FIXTURES & FINAL
TUB & TOP OUT 014,
d 'IL -ID _
wig,*
SPECIALS PERMITS
PERMIT NO. DATE
FEE
TEMPORARY SERVICE
ALTERATION ADDI ION
NEW BLDG. "2., I I
.,
REPAIRS
SEPTIC TANK /F. K•, ���,'
/ 1
/G �, JC If. 7144
DATE
SEWER
$
SOLAR HEATER
I
$
GAS
I
$ •
$
MOTORS
5
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
5
FIXTURES & FINAL
TUB & TOP OUT 014,
d 'IL -ID _
wig,*
SEWER
,,`
SEPTIC -TANK £
$' I`� 6.WL
. `
/4-
SOLAR HEATER
FIXTI IRF$
GAS
CONTRACTOR TOLE X7/1 (
PHONE
PERMIT NO. J Z 7 1 DATE 9.-14
FEE $ 6 - `"
ALTERATION ADDI ION
NEW BLDG. "2., I I
.,
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE/e
"7 ,Fi2
--
/� $ 7�7.7 7
$ `
H. W. HEATER CONN.
RANGE CONN.
$
MOTORS
RANGE CONN.
$
FIXTURES
$
5
' INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
id-de-y4 .--
ROUGHING eata
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
e3
Ydi' 4 i / :'
" 1r
r' BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
•
CONTRACTOR E _ ,_ __ HONE
PERMIT NO. 7Za`l DATE V.-
NEW BLDG. 1 ALTERATION 1 ADDITIO
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
FEE $ -
REPAIRS
BY
I3
0
a