1980,06-27 Permit: 79-6824 Inspect V.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N FINAL INSPECTION:
SET BACKS
DATE REMARK :
a
RTH tl aeFf eRBON/sfOKANa.WwaHING ON a ge 71;071 ce6 WS' DATE a_
/� AAnnPPP/LIICANT• COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 4 COPIES .S4• •700
oil
I
it toT ADDRESSeLoNlr/�SJedvislo 34 � PAR LEGAL DESCRIPTION-SEE ATTACHED ' •7.00 R '
II UMBERis 6 8 2 3 4
z. Nq. � N 10-26-79
J. ow�A-1.b n A rpt,
PHONE Rewired as B.�kr In Feet
4 6479 1
:� Rootyas $,4 1. ( �� re III{{{���� laautn oIlw t aK
TyrPHON[ A. e1 P.real OM tl«Illlutlenr /J 7(��/.
\/ IN1 llAa..,,. alp.la�pT �v /V-77-6�/`7/"
n�R[s TY«Corot. OcouPency aednkb«e
DESIGNER PHONE Valuation la no Arm in SA.Ft.
• 6' ADDRESS ZIP OWL Area Ba«mem Area Garage Area storage _
CHANGE OF USE FROM TO Split Entrr Split Level Renner
B.
No.Baths No.Floors o.Room ec.Raom
T.P. w ❑ALT ❑AD•N ❑Rpt. ❑Mva. ❑oTHaR
7 oP ANE CaRTIPI IATA 1 I
Nag'd,Rooms
r.,Rued.
wo ❑eLD. ❑ALMS. acH. ❑M.H. ❑POOL
elE%aMPT10N
O[eLq�[I�wORN , [ FEES COLLECTED
B vAl.d`' dr '"'`�.;�t ILTq SEWER
Or y ,..g.. )( sinal$ $
%J
I hereby certify that I hive read end examined thle application end have road the"NOTICE"provisions included ///
• Oil
r side,and know the lime to Pa true and correct.All provisions of laws and.rnlinanees,governing this Building
type ofwink will he Complied with whether specified herein or not The granting of a permit does not presume
UI give authoril to vlulate or cancel the provisions of any other state or local law regulating construction or the Plumbing
performance of construction. �J
DATE SIGNATURE see,.
6-4
YSCIAL APPROVALS IPICIAL NDITIONS:
Plan Chock
DEPT. REG'O. REC D.
Env.Health SEPA
Manning Mobile Hone
Fire Member Other(Specify'
Co.Ent«r
• ilitiesTOTAL $��
Zona Clearance ^- WHEN MACHINE VALIDATED IN THI '' -I1
SEPA Cnecinht J
THIS BECOMES A PERMIT I,B ZY2 .7.(101"..e'
DATE OFFICIAL 1 n.,-;r)6=7 9 —.- _-