1981, 02-24 Permit: 81A-1341 Inspect 1
ThISPECTION RECORD
ADDRESS
DATE REMARKS
T
y c @I
ANW NUMBER
P//o/O/ S a 3r,,`3 P;-4 w' m ', , �;,
ARTMENT yr(j
O ak ,r.I.PON NE,WASH INOTON99160/ISM ee&0676 ` s
APPLICANT, COMPLETE NUMBERED SPACES—PRESS BARD TO MAKE 3 COPIES
i JOB DDRESS
L3TC -1121.1-4bal,rl,. � RLEGAL DESCRIPTION-SEE ATTACHED 02• •3000
2. O IIr Je SiS ER/S 2.1*TJ/-2&27 •3500 6,,
Fri,,, , PA.COT/754C.E,..5"'AAA 4.D.,p7i7.tu20
a r ADDRESS 9pG0264 eros-rae Nrisnrs /I.OP.
•3[10 OK
gg •000 8
Fc qa R,lz�L,G,.ae 992oG m'er• klso9m� t A-i3 �W.0 2 13052
4. .'reZWIl_ADDRESS nPNE s�.I�R,x 41 1t r i✓0.��31LzOm- o2=ae-ai
9.
J ..,. PHONE y,eVNon.r. o . olon In., Sprinkler.
roA.b.b. 2 6a7w19e;...._,.
Arm In Sq.FL
6' ADDRESS, ZIP u((Ua,t2-3� —Dor. cage Arm Map•
CHANGE OP USE PROM TO MAre of Deck. Finished emergent Unfln.9awm•nt
TVP. X1 NEW 'MLT. X DON. 0 RPL 0 PAVE. No.Dun. No.Stories1 f No,Rooms. IND.of Dwellings, :.
OF
7' WOR r®OLD. 0 PLME. 0 MECH. 0 M.H. 0 POOL OTHER CERTIFICATE Read. ReC•d. ryot RH'6.
of EXEMPTION I 7/
4RNw OAqIetill Enu: Is. Dadon(ArM
I
FEES COLLECTEDaA4ATIDfSOURCETGAS ELECTRIC WATER EWER) O , /USE CODE
•
a T18TIE6 'rVPubnc IdPrivate
$inpl. S
I hereby certify that I have read and d exarl reed this application and have lead ()the NI It'I ri roi00106,0on 0.0.
se side,and know the cae to beion.true and correct All Previsel law,..mi 'i,,r .c grvesrning this eutldl .....C:,......C:,.typer m
ofwork will be complied with whether specified herein or riot.the dr..,o',, it does not presume p
o give authority to violate or cancel the provisions of any other stare or Inca)low .1,irr�o I,.r,nstruction of the
performance of construction.SEER�ppREVERSE SIDE FOR REQUIRED INSPECTIONSS Plumbing
�_
DATE OF APPLICATION� p _or riot URFA,-Ar`nI Ii AN r__.! -,.eZ...-�---- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: !./`
Sal Zi
NAME OATE Xa°/ESC!/ Plan Check
t� �F.-it-a-BI__ [� i..-.7.4(iii9\s49 SEPA
+ ^"� ----- Mobile Home _ _
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