1980, 04-30 Permit: 80-4128 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
AN NUM[ERRMI
'***y
APPLICATION/PERMIT
NUMi[R
B+IP+ No. Slorl�
Acf.... No. ollOw.11inga
s i
CFATIFI TEE
slE%EMPTION
SFfJKANE COUNTY _ B IILDING OODES DEPARTMENT
HR B11. Y IM19I .6896)8
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—
Sgiialnq
Plumbing
,o ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
5
PARCEL NUMRERrs�543- 1820
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9. owNEY�R Ka
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ADDRESS
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7. O 1p0I NEW 11LT. A ❑ AD -N. 11 RPL. ❑
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WORN ELO. ❑ PLM•. ❑ M[CH. ❑ M.H. ❑ POOL
., SLEJILrl
SPECIAL APPROVALS I SPECIAL CONDITIONS:
AME DATE J
0o 67—
o • • .wt
'***y
' Bn
_1
B+IP+ No. Slorl�
Acf.... No. ollOw.11inga
s i
CFATIFI TEE
slE%EMPTION
m. Obl. Loc.11gn (Aral
FEESCOLLECTED
Singl. f
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❑ PrN.t.
Sgiialnq
Plumbing
D
Pl.n Check
SEPA
Mobil. Hom.
Oth.r (swifY)
5
TOTAL f3CJ.47
0