1980, 08-11 Permit: 80-7629 InspectINSPECTION RECORD
OWNER
LOCATION
'�
CONTRACTOR
NSE
TYPE OF ORK C:7 -e
W FINAL INSPECTION;/? %/ ,,C2 -
6
SET BACKS
DATE
REMARKS: / / C-27, ,%,,,t, 1;1
i�
r
ADDRESS
2. // j
(72
9/:2 S ita APPIRCATIONIPEF1MIT,�,;E
srbaw courrrr"�9UECUMG'CU6ES
9�
. WASHINGTON E92130 / 160Si AES -3676
S 3 76
APPLICANT- COMPLETE NUM BER ED SPACES - PRESS HARD TO MAKE 3 COPIES
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PHONE
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OLD. o PLIAS. O MICN ❑ t..L o 00L D o,
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LEGAL DESCRIPTION - SEE ATTACHED
P.e.
rimM p�-O84s1.0 o
Ocr2
POAtIN /.-/TE ESTAT.FS
,nager•est
IAe M17 It' Iw•
In of p.
Co iip a... n„ a'jellib 1J.
I o.. ON. to RM.,
• It1`r' In y,. PI.
ntupa
nIDAT•
of EXEMPTION
hereby randy me hese re. end 8080 r 1
our C er. m IQ
co revel.r itvknow the sameto be Nue •nil correct duplication
prodigalsleal law 'NOTOCrlinanees slant tetl
type of work will be complied with wlleto9l SpecllleO Noon cc car col governing this
o pwe authority to violate or ancal the provisions of any nIhel r ^Bran on ala atmq construction
or
MeiOIMaro. of construction, E REVERSE SIDE FOR REQUIRED INSPECTIIONloCal la eP. nnnrl eannnepan or MO
DATE OF A. 1 AT10Ni-2¢—R// siT
•ryNt N..,e1I ��_,,. �V ��7
al AL APPPHDVAAPPROVALSSPECIAL COA DI 10
CODE
Le
r°r
Slagle `—
NEON1' Vp O n
Plumbing
ktm
Pion OE.O
LEPA
Mall. nom.
Other lRnlhl�
r to
TOTAL
86-N9GSf/
•
02• .5000 •
.5000 Kf
•50008 !!
•000 a
9628E
07-25-80
2 6579
0