1981, 01-13 Permit: 81A-0065 Inspect vs.e.,w --
INSPECTION RECORD
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DATE REMARKS
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NORTH Bt t JEFFERSON/SYOKANE•WASNIN'»TON POMO/MOP)I663B711 T '�. ,
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES 02* •27110,1..-.• .
JOB OOORE35 •2.•L LEGAL DESCRIPTION-SEE ATTACHED ep7801�''i
I- r ,/ s ' "' PARCEL NUMBER/3/3' Z-/7A3r
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2. PHONE
a -rEV•J. , tl� J2.1_35 f BROAONA.Y TZRRACE OPRIRTUN/TY A AQOp•E
ADORES Xl T,n7 a ZIP Actual eel Becks In PM I / 65 R
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PHONE SO.of Partin / Zona Classification C T ACTOR 42,x,.Sy41/ 70 K/3 4/ C
A Co.. Om.. I 6479,
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/ 704; y FJ)n An An�< PHONE 7 io R-J Su..Anse In yP.Ft.e
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6• ADDRESS • ZIP 1 r I Up.floors Oa,.a Area I Stereo.
//817 3'29 — '. ...
cRANBE OF LOS PROM ITO A.010e. I FinIMed Basement I U''�n11n.Basement
3 Rooms 10.or Dwelllnas qy
No.0elhr I No.Slab
TYPE fa NEW 0 ALT. 0 AWN. 0 R L. 0 MVE. D OTHER
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T. �P CERTIFICATE AN'O. .e. IE1el RN'.,
Own SLD. 0 PLMB. 0 MECH. ❑M.H. D Pool of EXEMPTION I 1 •
• CBIS WORN anum.Diet, ILpallon(Arms) FEES COLLECTED {�
& 9 ECTRIC I WATER I SEWER OWn.rNlp I UE!CODE • {
7 L TOTE 1 Puolic O Pr Wt.I� Sin& E
I hereby certify that I have raid and examined this application and have read the•'NOTICE•!provisions Included _ Ep
on se side,and know the'same to be true and correct.All provisions of laws end ordinances governing this BUIIOInp / /I
type ofr work will be complied with whether specified herein or not The granting of a permit does not presume 02.781.:v.. I/v.
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the \/\XJ/7,•' }J
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSCEGIlONS
Plumbing lRR
DATE Of APPLICATION�z-.?Y-Fe SIGNATURE OF APPLI
\\ A t Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
AME onT
mo-re. BASEMCNT NSED Fo% bZDRAGE use-.
oN.y. Lila RT AND VEJJrI tvoN POOL an
plslMLNT MMz<EA A°VFLaUCtdy JM Pyo Check
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Other ISP.cifrl
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1 Wes iTOTAL _C.
R.Examiner • WHEN MACHINE VALIDATED IN THIS SPACE. I
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