1980, 12-31 Permit: 80B-5267 Inspect - -..¢,L9PAIFINIM•11•1!
• k INSPECTION RECORD
ADDS
DATE REMARKS
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Pt I. NUMBER
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aoe i / r/ 5 TMENT 17111,61.
b7 ..1
NORTH 611 ZEE a WASHINGTON 99260/15091 6t6
NITS APPLICANT: COMPLETE NUMBERED SPACES—PRESS I IABD TO MAKE 3 COPIES
le GRADDRESS 25600
1. E.3-Ild urvtsrun 15TH Ave.- PARCEL
DESCRIPTION-SEE ATTACHED 2.5600 s
dd RER/s
2. 2 2 Lh SSL.oA.4)la AD'a kTt Ont UNUM 256008
OWNER PHONE
3. Af46R1cA.N1 FH:M.NR MI6, 5.31'3 G 23594-o-9oZ ' +000 8
ADDRESS ZIP ctu.I Set Bache In Feel
� n .5 H5,130 oAL ��oa to sI' knurl-,aE' East we. 31'
CONTRACTo size of Parcel Zone Classification
1
2-05-80
ISAm l100X I 1IJT., ArN1/.Y E579.
ADDRESS ZIP T
5'AM6 r Ve Nn. 2ceu3nev Ov.e ONO k O ow*.
DESIGNER HONE
Vai POMP,Area I
n Sq.Ft.
1 43 22 142H' ADDRESS Z1P Ifla5a storage
Area
e
Bow z4. 4 /, .--
CHANGE
cngnaEOF USE FROM re of `e !sBasement easement6.
�
NA Na.Stories oma No Cf wal
linsr rTYPO .DN!W /:]ALT. 0 AWN. 0 De ❑MBE. Z Z). FI:1 OTHER CERTIFICATEWORKW eLO. 0 PLUS. 0 MECH. ❑M.H. 0 POOL Rena
Rec'a. peat 9'd.
of EXEMPTION
I t/
DESCRIED WORK
OHRCRgL,y�pE e� Location(Areal
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FEES COLLECTEDR(e{
.1 rem IOP1MS ,yE 'ROA05ECCU A1C SEWER owners,4USE CODE
e3.zz4 u LDS enc Puma o
Private Single s
I hereby certify that I have read and examined this applmdtion,II++1 h,,,iead the"NIITII'L'provisions included
on reverse side,and know the same to be true and correct Ali I,it,v Isons of laws a �ii+lmanceI gov Ing tins /
to R of work will be complied with whetherrO specified fly W+n'not_The gree tiny o!f..Inn nit nstrs p{�r¢r resume
Bul101ny �.�r'a` c
t0 RICO authority to violate Cr cancel the SI Dns of ally WIPO,htn a or local law ieyn l.ihlly-n fru/N;,(s�„",./1`h`I,•`
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS, /J Plumbing
DATE OF APPLICATION t'2/'T/oe_ _ ,Nnitl - WI!ic'�\ '\a`/1
A, � Mach.
., SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check +«:.
der
PI.I n6 ' SEPA
+a V.rsnali Mobile Home
•I.Eneln.er Other(Specify/
nines
/ . F / / TOTAL $�Io.00
I nsE N1y/tiy#j,(TF
WHEN MACHINE VAS IDA ICP IN THIS SPACE.
9.