1981, 02-05 Permit: 80B-5116 InspectINSPECTION RECORD
?KESS
DATE REMARKS
Zai i ?2.,
i R//+/fo
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
AB ADORES
1. NA 13/Y. Nu; NILOAo
LEGAL DESCRIPTION - SEE ATTACHED
LOT CLOCK-UBOIV15IO
2. - Z caRAHAMS
OP OPfoQTUMTf'1
sUBD/VIS/o1Jot•-IXACr
26+ZS
PHONE
vYZ4-2708
RPARCEL NUMBER/5 1-154/ 0
—805"
OWNER
g I15Ae1K JAMISD)
ADORES&
H• 1314 HERALD ROAD
ZIP
97206
ACtual Set Backs in Fest
North E co --r 'South Eoor Eat 61/ST Iw.R EXIST
CUNGRACTOR
J5R1MARD INC,
PHONE
2qq-311
of Parcel Bon. Classification
Slat,951 X 301.10 I A4RILyCOIRRL- SUB
A J
woDResS MRaKA�_ [AkL
P.O. box 14G" SAYIC'Atll�
ZIP IVO zz
Type conn. ogap.ncy sorer a
L' -N R-3 ❑•., Ono kl0 net o.
DESIGNER
PHONE
Valwtlon IEI r In Sa. Pt.
46+000 Togs ev+0 Area
6.
ADDRESS -
01P
MainI UpPM Flows Garage Arca Storage
I —
CNANOEOFUSE PROM �TO
8
Ar _- FinleC.e� ant Upfln. BeNm.nt
-�
Tye ❑ NI:.y ✓ wLT. ❑ RCM.C1 RPL ❑ MVE.
7. of
WORN ®'SLD. ID PLIAS. 0 MECH. 0 M.H. 0 pool_ 0 OTHER
No. Ba I No. Stories No.. Room. No. /of Dwelling.
I
CERTIFICATE R.p'a. .e d. X101 Rep'd.
of EXEMPTION I L
DEECRIEE WORN ``
& „tapLL EXISTI EARAG • (NOT TN VS DAT •' Arc,IR
Crum. DIN. Location (0r..)
FEES COLLECTED
SI gl $
V t1SN SOURCE OAS ELECTRIC f PATER SEvvf(
D. GMO-1I0 IUTILITIES� I_ I 4LPTI4.
Own.r.nip USE CODE
Public 0 Private
I hereby certify Mat I have reed and examined this application and have lead the "N111 r i1-.' provisions inclll dad
on reverse side, and know the same to hen a and cl nect. All p.,l. Ihi' of laws aril A ,. '.es governing Ohs
type of work will be complied with whether specified heroin n I. the granting of ., r'1 rhos nor or esuow
to give authority to violate or cancel the provisions of any other stele tit local law rewilarrrin r' nstructlun of the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSP .Aoir
,e
Building 456
Plumbing
DATE OF APPLILATION _4 2 SIGNATURE Al' APPLII,AN I ',- "o'Zt.
Mech.
SPECIAL APPROVALS
NAME DOTE
SPECIAL CONDITIONS: /
EW1KAA-PUS S RIO antE[M4110— or 6ARJ/ ,4
1
pyo Check
SEPA
ny
Mobile Horn
I-M,7inall
C . Engineer
.Other (Specify)
PERMIT NUMBER
8013-51I
!'2• •5600
.5600
.56008
h •000 S
1.92
12-19-80
R 6479.