1980, 10-17 Permit: 80-6609 InspectINSPECTION RECORD
OWNER
CONTRACTOR
NSE W
SET BACKS
LOCATION
TYPE OF WORK
FINAL INSPECTION:
DATE
/074e
REMA
'1()
AB SADORCBS ,''
f. Ldp �L QDtdeds t1
2.j4 -i5-1 / MovNTMh VI/EIV /ST i1 OD
a 011a/ly A1) 1C
CONTRACTOR
4' AGGRESS
DESIGNER
6' ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
lY'e� L o00 `/
zl
PxNoC:
OcCuPancY
ZIP V
zlP 5
PARCEL NUMBER/S
Actual Set Becks in Feet
Nerth IE I bet
!South
Sim of Permi
Type Const
vel 7s o
3cHAAN0e ')
OPSE PROM
TYPE
7. OF w
WORN m.o. LI FLMB.
0 /V C`
"Z="
Zone Classification
Resartsto 9c C s Fi
Sprinklarecl
Oyes DNoO Rea'a
Bulidlny Areain8 Sp. Ft.
3E45
Upper moors aaaaa Area
Storage
Area of Deck,
Finished Easement
Samment
0 RDN.
0 MECH.
❑ RPI-
0
PL❑ M.H.
0 SIVE.
❑ POOL
0 OTHER
A7 D n` C ATEREWER
CE G
UTETIE
S
o.euna
o. s=«le,
No. Rooms
No. olDwellings
CERTIFICATE ( .a'a.
of EXEMPTION
Enem. Dist.
Loaapen (Arm)
Public Ownership0 Prlvat.
USE CODE
hereby a rhly that I have teed end rv�,rlrnnrvd th �= a1+9�' r i fJU i It I' tt r Irvl(leli
reverse aide, and know the s be nl r nil rer v tlrrvrrt lu+l lhlr
on von Ir rue .
type of work mil be ompherl with whether, ,,,
to 9109 •uthonly tO v101a1n of cancel shn Rruvlauolls n rill .� 'e I, F w rxgulf.l pill ���,11 scnnn ie Ili.
p.efarmence of nonatrucbon. SEE REVE RBE 810E FOR RE OUIRED INSPLt I IONS •]
DATE OF APPLICATION
SPECIAL APPRO ALE
NAME DATE
Env Health
o
SPECIAL CONDITIONS:
A. lien rrf .eL Ve
Rswao
14. if ,971'44YPO
R.19 rP2e.e
FEESCOLLECTED
9 pl S
Building I462' aw
Plumbing
Mech.
Plan Check
SEPA
Mob Ie Ho
Other 0Spectfyl
TOTAL E
PERMIT NUMBER
So - 6G 07
02. .6800
•6800 E
•68008
e •000 8
6600U
07-02-80
6479
VVHEN MAI r,
IVIS REr rin�