1980, 04-07 Permit: 80-2162 Inspect v� s��, do , -
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION: /-"1-&(;/-_ /`/-C
SET BACKS
DATE REMARKS:
J �_.,-VX 1 Wil'/ /h S ✓/(—�)(Ge?P 4'4 X•i
77 -�.- �-c�/4-------,,e- 74-4/,,..,---, /� S - ",
/
`7--(F C-G X06 rr Rch
Ct-(3--* 4.4, ?� ,4� ( ., si�li- )✓ �j/,4(1
1 ,7 NUMBER —] APPLICATION/PERMIT [
SPOI[ANE COVNTY—BUILDING CODES DEPARTMENT MAE�/�
NORTH all acrrcnoorl r oPOEANt wASHINOTON NI NO/I GOO)Ate SEMS Cr)
APPLICANT: COMPLETE NUMBERED PRESS HARD TO MAKE 4 COPIES DATE
t ��ft
u.rL q/ L,r,�E}. '1 // LEGAL DESCRIPTION—SEE ATTACHED
2. / Z sb ii-a F!-LA a ///
PARCEL / eERfs a+3�{Z-D40!
ER ONE R LO / Q/-/Y 2
3. /�p*�.kt- 'LJ� O (3Lt' 926-7294 ev a ��i sr ADD
ZIP R-SL6 021 ,,.4.G/µ , 4n. ��/G North goequIrea al Bac,.
ort A a.L43z r lwess/fJ G'
� E
llon
.00QnME :VI'x/32/ :en. ./.a9N_Rai.
ZIP YS
DESIGNER
cons. Occupancy DV•l ❑Na ❑R,00.
S. POOP ESE
PHonE i o aiic 7 J.2 al y p Ft.
.PIP y/Area R. R32 9 _
CHANGE OF USE FROM —, Basement
SZ.Q'e
TO SPI SPM Inc es
No PNo.Rooms Room \PEM New 1:1 ALT ❑ADN ❑RPL ❑la 17. wORA ®ECO0 PLM.. ❑MECH. ❑M.H. ❑PooL I:OTHER CERTIFICATE r R, a.
I Roc,. fvat,Ired.
el EXEMPTION
JOg(lf!!wO(gN
PECOLL(CiEOa /L 401 ,(.1 yt'I /Il
EPpp<, 14L[CTgIC WATER SEWER
0• 47sd� tAlltle.
Sinai. i
Ilmg by Lm hh, that !add ano usdriiinotl thls appilLat,oll,m,l have ii,sol Ow"IJ -
Npeeol work will lw c Rltl I P w 1 . t. Smlomp '�.?d�-
tl,give authority to violate,i,LOOPOI the provisions of any Othel slate or local la Iego,,I.: ...R,I Rclioil eR IYai
poi lo,mSance of construction. w /��
Numbing
DATE_3-.5 91 -- SIGNATURE-0-t!...,-; (/L Vp.i.(t.(.(
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Env.HewnREQ O. REC O. Plea Chock
Plennlnl SEPA
FI„Mama. _ Mobile Home
•
Co. 91.M t Other(Specify)
_,_n 3/j 3/F.6
• TOTAL [� _
NMCHOESE PERM, N tisln
THIS RECOMftin PFllMlt