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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 � O tn[ eooe ❑ PrN.t. nrrl Ir •.r� — Sgiialnq Plumbing ,o ADDRESS LEGAL DESCRIPTION — SEE ATTACHED 5 PARCEL NUMRERrs�543- 1820 Z.2 � 9. owNEY�R Ka 4zNE Y A Bs ssA.\ �O. �E1 E a n++21 aR 51 cont RAcroa 4' A DRESS .. C- sRlouon slz or Parc.l IREIE� sl{ 30� T5+�4LSP Nle wsl P TYRe Con+l. ccuP+ncY rl r 0Vea DN. ❑ Re -,I. �• ONE Bulltllnq Aru In s0� F= Ca 5.A ADDRESS + PI ' oar u r 7. O 1p0I NEW 11LT. A ❑ AD -N. 11 RPL. ❑ )Y MVE. OTN[R 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 tn[ eooe ❑ PrN.t. Sgiialnq Plumbing D Pl.n Check SEPA Mobil. Hom. Oth.r (swifY) 5 TOTAL f3CJ.47 0