1980, 08-22 Permit 80-3296 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
jj.' 4' NMh O7� G�KU
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB wooREQss FE. YS /03 c
t' i iLDaic
LEGAL DESCRIPTION -SEE ATTACHED
sltBDrv132N
y 1
PACE UMe0Rrs Z054l -1325 N fpo' of
&KITS. or W !6S' of Si 'TI T 2.32.
WO -TM 17y
OWNER
a 4ERoy LVDOP.s
PHONE
4RG-6073
ADDRESS //
S- 603 FELTS aQ.f2su—
/'
ZIP
9!ZA 6
Acluel Selracks In Feel
Norio 6 Isootti/6 I et did' Len 79 v
CONjRACTOR
M�atC
PHONE
SIN of Parcel r�onORnlllollan
J
/A0 X / � Y"� ,""t
a.
A2RESS
ZIP
TYPO... Occupancy Sprinkler.,
Ova ONo ❑ Rev'd.
DESIGNER
PHONE
Valuation Building Area In S.. Ft.
S7
5. AODHESS
Eli.
M.In Floor UPPW Frvors ONep. Area Storage
J7� I S7.yy
CHANGE OF USEPROM 1TO
Area of Dodo Finished `�1 I Unfin�wm.nt
TYPE 01NEW 0 ALT. 0 ACM. 0 RPL. 0 MAC.
), „,,„ ow. 0 PLME. 0 MECH. 0 N.H. 0 POOL O OTHER
WORT p
No. Botha I No. rlee I No. �No. of Dw.ill,.,
Rea
CERTIFICATE IJI Rea R.cd. kVof R.e'd.
ofEXEMPTIONI X
p R
jr)
8.
Enu pot. non IArol
FEES COLLECTED
BI DI $
VALUATION SOURCE GAS ELECTRIC WATER SEWER
g, Vri if, ES
°wnaNnlp USE CODE
P.M ElPrlvabill
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and Correct All provisions of laws and ordinances governing this
typo of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other .fate or local law regulating construction or the
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
d�
Building .50
Plumbing
p.rtorm.nce
/A/y// !.
DATE OF APPLICATION 4 7-g.0 SIGNATURE OF APPLICANT-IF/al; v
Mom•
SPECIAL APPROVALS
NAME GATE
SPECIAL CONDITIONS:
�� '-- 6D6At.
Plan Check
SEPA
Env.
ann v'144.
ng
Mobile H me
Fit.. NUMMI
Other iSpevlf0
, .. Enelneer
SDI
TOTAL $ SDI