1980, 08-05 Permit: 80-3962 Inspect T
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS - ---
DATE REMARKS:
a frota teTA-4
g""dt el) eff r
• 4
•
T
nm l n,nvr ,, 14 .14'7 l/7
�c,�.) /� ('1 f� tt LEGAL DESCRIPTION-SEE ATTACHED 7 I10 in
1LarAD BLDcuEMESS�su9�lO sm l l( 11�o n,.n�E���MnEn�e 7006
2 1
3. '7"—D,o 4lG k t 1 V(u Q3L1"LS 4 -ono 8
N�AIIDRE55 21O INt ICJ NOIlT•l S r 9.`Ll South et tall I001 _
CONTOA ORRl -� PHONE Site el Parcel Znne Clalslllealien "� �r-�0
i -- _- 64'94. AORESu.)Lmo ZIP Type rnest. occupancy I Sprinklern
n nm.a_ ❑v Ory 0 q
DESIGNE
5. ADDRESS ZIP rvE vada nn,on, upper vieo:leGa�ai9 Building li Area 010,11.
D CarANOE or usE FROM TO Pl .e.a p.,.,.r p, m..r
TYPE ❑New ❑ROLl 0 AWN. 0 API_ 0 V
ME. No.R.m. Ne.area.. No.no.r.0 No.or D..auee. i.
' WORK ❑laws. 0 PLme. 0 MECO. 0 M.H. 0 POOL 0„.... CERTIFICATE –Rebid. Reed. INOI Rebid. i,I
PI EXEMPTION
O Enum.Ola. ocatlonlgrea) FEES COLLECTED
e. 1/4Ep} „ `-n0.c_ Q w
VALU TIOSOURCE O lMP WATER
SEWER Nnlp USE CODE
t,k it i
9. UTIerTIES Public CI Private❑
Single S e
Building
i 's�� Plumbing
Mil il I IT,iii.,• /1.--,V...4--P
`e`
. / .i–P s0 (7-dine---/-/�Z`mech. /7 .
e
SPECIAL APPROVALS SPECIAL CONDITIONS: LI
NAME DATE Plan Check
SEPA
Mobilo Home
• Other(Specify)
e iJV
TOTAL S
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