1980, 12-10 Permit: 80-3639 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
W FINAL INSPECTION:
DATE REMARKS:
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4.4040:eta 4,04-e
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.APPLIC A TIO /PERMIT
BUILDING CODES DEPARTMENT
NE, WASHINGTON 92760: :6091 468 3676
APPLICANT. COMPLETE NUMBERED SPACES PRESS HARD TO MAKE 3 COPIES
700ADDRESS g'1.14
4• A,�D{p Rus
'OEiie
5' ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
PgRCCI NUMFER75 33,5•43- Q JA$ •
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DARGY ESTATES.
Actual EM VaM In Foot
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04-17-80
: 4479.
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CHANGE Of USE PROM
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7. OF
WORK O BLD. ❑ PLMe. Mate O M.N. rijr POOL
a DIiiRIFTwo N ,\ A4AL
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u 111F3 1
0 OTHER
In floor I Liam feor.
Arm as—.•awr I FInNn� I
No.=1Ra I Ne.S1=1n
CERTIFICATE
M EXEMPTION
Own. 01a. I Location (Arm)
I hereby Certify RIM I 7•490 ,,,.d :n11! e1 n
n n *nurse slit. end wnnx 1..1, s.m1 10 Ne +. ..I 1 11. . • .
6evreR
U r•0.4... . 1' 17 711151 `:.• r , '141 1. :LIRE. •I•
DATE OF APP1.1...1. �''�% SQ .`•10(1..•1niL 111 1IL
.ICIAL APPROVAL/.SPECIAL CONDITIONS:
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Inc C001
No. Reom1No. olfyLlln•I
43.11. I 11•41.
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FUSCOLLICTEO
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:111Nylr10,1111.1471.00 nr 1111:
PERMIT IS NONIRAN\1 LliANLE
SIREN E
SWANN,
P1wnWRE
MNb,
PINn Che6E
SEP*
1.4obi10 Norm
01w I1PN.M
TOTAL 1 ,,,e0
WHEN MACHINE VALIDATED IN THIS SPACE._
THIS RECOMFS A PERMIT.
00-17-31111 36.99 *25:0021