1981, 03-12 Permit: 81A-2199 InspectADDRESS
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PPL T
UNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON r SeCIPANE PASHINoTON 99260 / MO91.663676
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
ace ADORES. {Q[ /�/•(
LOT )LOOK ISIIEprvI(IOH
D` ` 1Y0cLO I SHORE
3 �� AZL-0135
ADOREaa
L. 1902E Cr*
CONTRACTOR
LEGAL DESCRIPTION - SEE ATTACHED
,. SAME6171
e.
DMIION(R
RoOR[[a
'FAO IL.
PARCEL NUMOER/S t' bF N( -'i5' ofE.51.•
of t»h. [sir 8...Y4 •
2V553-Ama. ink ear
PHONE
CRANI* or V[( PROM
nP
PHONE
6w lu•I 5n aeon in Pan 190901 &O' 1 at 751 l
of rap zona Cl•whr.en
I••I �: eialI_Y4CgL
Type Coral.Ooc9gney
I
1LN nt-I
vol y 2 784
TO
•
'TVP[ a now D ALT. 0 AWN. 0 R.L. 0 MVS,
WORN PLO. 0 PLM(. 0 MECH. 0 M.N. 0 POOL D OTHER
0(k RIE[ WORN
is e,g4 Lf EP(LN
1 LIIAn adURCE e
oA-+7f4TILITI[E
1pinklxaa
DY.. Osis 0 *.9•a.
Bull r In 5a. Ft.
eaGarage Aran 52•a..
Area •,OK.PIr. 'Plena . , mini I . 6.0OK.nt
[ CTRIC
WATER 1 alma.,
SEPT le-
y teat I have read and examined this application and have reed the "NOTICE" provisions Included
on reverse tido, and know Me lame 10 he true and Correct. All provisions 01 laws and pl dlnances o0verninq thio
WOO of work will M complied wins *Mnsn, specified Neowp co nor. Tho granting Of a pepnit does not presume
to plv. authority 10 Vidal, or canoe! the provisions of any other state or 100.1 IOW repllannq construction or the
/r'partormance of construction, SEE
REVERSE SIDE FOR REQUIRED INSPECTIONS /rte
OATF OF APPLICAT101 rq/ rJ SIGNATURE Of APPI ICAN1�/'/'Jyy'c
MIME APPROVALS l SPECIAL CONDITIONS
�i
NAME DAT(
No. Storm NNo. R o o. Pr 1 waning.
o. I
CERTIFICATE Ap
1 EXEMPTION
town, Olal. I Location IArMIJ
I
IJa[ COO[
nn<r O aN•H
Env. HMH
5'12 WITIt 31.26
itsb whwouT 9twO
Anna, fvnl,ward:
PEE* COLLECTED
Enol.
Rprobing
Nan Chock
(EPA
MobN Homo
Othor IEuenlrn
TOTAL S
1311.00
02+ *380A
•380A K
*'38008
A *000 -8
2198R
08..09-8J-
.....9 4979.. stay
WHEN MACNINEVALIDATEDIN THIIf SPACE, S'D