1981, 02-17 Permit: 81A-1287 Inspect INSPECTION RECORD
ADDRESS
DATE REMARKS
4/, h2 4,/ P lv�+
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ppplAAtiSCREEN PERMIT NUMBER /y/11
I, 2/9/5/ ! sr 1�,._ ...o liviii,ARTmENT V"7Yaei "I�` •
B gPOICANE,"WA's fon a9I8 me)46&3e76
APPLICANT: COMPLETE NUMBERED SPACES—PRESS I rruHir[0 MAKE 3 COPIES
aOE ADOREtico
.53 (03" LEGAL DESCRIPTION—SEE ATTACHED 02• .3800
i LOT OLOCR SUBOIVIEION PARCEL NUMBER'S
•Z 61 3 K Psiis 16vl,Jv4tcty oh bno D4E •38008
app 2.511-1824 •38008
.000 8
OICAML 11.). '-�E?N'EIV A2 11A0
.aL ADDRESS PActual Set Racks Irl Flaa-e,, 1 28.6 2
L.'btu, OR 4120(A Nortn South Y t wen 02-09-81
PHONE Slee
CONTRACTOR
sl:, P'aOK13) ilALla•na.tCil,IRASPN 2 1479.
.— ADORES! zIP .se.^.t. ^ev SorIn❑v.. ❑No kieree
DESIGNER PHONE a SR.Ft.
6• A :IP rZ51xJ dm la
ADDRESS 1.gle Floorin I Upper I Storage
CHANCE ATO Area of Deck. I Einteh.d R..m.rrt 1 Delm.easement
Batas NoStarlet NoRaom. o.
of Dwelling.
TNEW PALT. ❑ADS. RPL, Q MV{ 0OTH[RNa l I
7, OF
WORN pli OLD, 0 PLMO. 0 REEK Q M,H, 0 POOL
CERTIFICATE Neatd. Recd. rot"ed.
al EXEMPTION I /
D{pp1OyR`I�MR(�EE�WAAA���ORN Enum.ol.r. Caution IAIMI FEES COLLECTED
& ALtlI.T10N1 0- CE OAla.S ELECTRIC WATER WATER SIPPER Ownership USE CODE
9. ZIAbQ eI TEE SEVIIC P„wN❑Privet.m sinal.
I hereby certify that I have read and exam led this application a rd have lead the"Nf)I ICI r 1 in uded
on reverse side,and know the saner to be'true and correct.All provisions nl laws dm) mg,,,nes governing thisTj8,00
type of work will he complied with whether specified herein or not the granting of a I^'�n,'.I not presume Building .
to give authority to violate or ancel the provisions of any other state or local law Tepid...,n i erutruetion or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
•
Dort 01 PPP,1('.,110N ..1-9-Q1_._. l//,,,, /0 1///1,1111 ,1 n.'lel-l({"Y1LLiir 6/4, Mach. .
SPECIAL APPROVALS SPECIAL CONDITIONS:
s.NAAM Rho,Check
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Nef,�feel"R101 D-. -.o.— r /
/ 5EPA
Mobile Nome
Other 1EPecilyl
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