10-1113-002^ ^ ' - - - - - -
CC% ?tl�rrUt Na Address:'. -- - - -- _
1630 5�J (Ar
C IT !. F1 to S !
En
ri�
EPP0.
COCE ENF
ELECTRICAL
1, "EGHAIJICAL
ENtRGY
PLU ?.7,E NG I
STRUCTURAL I
ROOTI.:% I
DUILDING h_
OWNEK L!LCR.
BLDG.Or=riCL�L
I
1 Sub;CCt to ccrnp5ance wr „h ;,
regulat.cns, the City o. Scuen'f, < nra ; - .tray Lr_:,,, �, and
accuracy of %or roswts rrcn these ” f as; " "'s ""' "`� for 5 a
2. This copy of the a ` -.s
pprcv"d pens aid th, perm.; Card must 06 tv31!jp!0 3I
the bwlMrg site or no inspeCton wdl be Conducted.
3 REVIEWED FOR CODE ccL:PL LANCE
.
is+
M =C4�v
3
t •
M
MOMMMMMwo
O
I