NO PERMIT NUMBER (2) 1, LOC 2.
4;READV . AM (E� ANYTIME (.. t 5.TVP OF' 6.AREA 7. INSPT.MADE
PM ( I SPE Y I CT: . TIME
DATE
8.APPROVED 1� '9.REMARKS:- -
DISAPPROVED. ( 1 ` n•. '
- INSPECTOR/ _
V 280-6 7 1 .„
�- WHITE- FILE YELLOW-INSPECTOR PINKOFFICE