1980, 07-17 Permit: 79-6794 Inspect-�
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S ^IiANfi COUNTY—BUILDING CODER DEPART'°. fly Z�c .
tit JEFFERSON/STOIC ANS.WAEMINOTON Sem/leen eno•aom s
APDL 1 COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES DATE
/deADCRESs 03+ •30'0
1. S. 2204 Vera Creat Dr. Veradale, WA 99037 LEGAL DESCRIPTION—SEE ATTACHED •300 3 `
LUT I PARCEL NUMIER/S _
OwpyN(yR�,[7wLR I SurulVlAluN MOPE •3008
3' A66c Eiaamarat W 4 E •000 B
OV CAL
]I'i we[mnmuW rin rwt 670.3a
eoNTlllaCTOR i t&Para, I.Awa a;, I 1 0-26-79
Soft Yater Service Co. 4 � e e caumm0ene1
4• ADDRESS ZIP rra cenn. 1 ouupencv [P,InRI«w a 6 4 7 9
E. 25 Third Ava. 99202 I no.
❑No ❑R1A'e.
no[EIaN[R
l�
5 PHONE Vnummn Sullelne Arm In IA Pt.
ADURESs
!IP OWL Area Ieasement Are. Genn Arm I Storm
•
NCHANGE OF USE FROM ITO 6011![nlrY I WI
8. ml I Rancher
❑NEW 0 ALT. 0 AWN. ❑RPL. 0 MVM. No.Sates I No.Floe. No.Rooms Rec.Room
7. OF E 0 OTHER e..
...:7 _------
WOR,, 0 eLO. Ct*Lee 0 HECK 0 M.H. 0 POOL CERTIFICATE Reo'e. I Ree e. riot Rm'E.
OESCRI
II SE woq,,
el EXEMPTION
�F-a Yater$oaLaDer FEES COLLECTED
VALUATIONOAS I ELECTRIC I WATER
SEWER
e' I UHII les I
1 nnrelly nattily that have read and sICaminad this SIREN _
applaition and have read the"NOTICE'provisions Included
versa side,and know the sem to be true and correct All provisions of laws and ordinances governing this
type work will be complied with whether specified herein or not.The granting of a permit does not goading
to give authority to violate or cancel the provisions of any other state or local law regulating presume
performance of construction. Bu g construction the �'N
r Plumbing
DOTE 10(17/79 _ SIGNATURE Soft Yater Service Co.
Mech.
SPECIAL APPROVALS 'MIMI.MIOITIOSISl
DEPT. REAM. RECD.
Env.Health Man Check
-- Manning w SEPA
Fu.Ma.IC Il -
Mobile Home
Co.sown...
Other Itpecifyl
—
Zone ClearanceTOTAL
e
SEPA ChecklistWHEN MACHINE VALIDATED IN THIS SPACE
/�y/� 11I THIS BECOMES A PERMIT.
DATE i'V9� -OFF 'yam 10.—'2[.-79
'LV 6706- ;•yon o,