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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.