1981, 05-06 Permit: 80B-4799 InspectD INSPECTION RECORD
ADDRES
DATE REMARKS
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APPLICATION/PERMIT
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Wein All JEFFERSON I PPDXANI, WA3NINGTONnnO I GOO) w.1•..
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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erciNe
429.1553
ICA
LEGAL DESCRIPTION —SEE ATTACHED
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EXEMPTION
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I bomb. certify that I One r.W and examined Th. application am nave L.e m. 'NOMI r yea Coo.
1 on
of won mil h. Comp) the
wh,, o, f En orit * e oflawf a ni.lin included
a this
"Ye N,4mnry m ,lots. or o.ncel me prm mon1 of any olnep provisions
tale o local la ° IW • ei ...mires
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ptlarManCE ConpncnaeeSEE REVERSE SIDE FOR REQUIRED INSPECTIONS ou n m u n
l GATE OF APPLICATION Mder�Ac /9.6 SioNATN F P
l Emu APPROVAL*ADATE sEcrAL Ooxonw
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Tong SIAS '004414‘1.3^27•4"• o.Z/y,6,•.- Xfro AEPNr. ir
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02• •11200
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6479. '•" i
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Plumbing
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TOTAL Pane
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0