1980, 10-02 Permit: 80B-833 Inspect9%a/�ii _`FAPPL!CATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH SII JPPPENSON I SPOKANE. w.1EN,NGTON 99260 / ASO91 •S .3n,S
APPLICANT: COMPLETE NUMB E RED SPACE ,• PRESS HARD TO MAKE 3 COPIES
72442 7%r. Q loon / 91,-1-3""
Sp*37 fin2w/ , eJ ,/ip -hd'a l _4.wb
LEGAL DESCRIPTION — SEE ATTACHED
u1999995 /CAOTA!—Ory/7
W
C93,60/4079/—t/37'.IOT//
• A03;
A.�P Z CP-K.2
6T MO TO OPPOKfoN/fy
y«.nrON
• 1s i ,l±'Iw. —
,M,-24
.3.444/ .
N I R'3 M'I OYU ONO O..qt
0
7130°'2
7
--r 1
a
,..04.
.EI NEW❑ALT. MAO ORpA. OMt DOTIIE
Onn, Qno-1 ❑P•Mn, ❑MEEII. 0M.N. ❑POOL
•
c/
CEBTIFICATE
a EXEMPTION
y. 7.331 Sn O.S apOrnrc wn,un OEwrn I.Dr,., 1.p
I hereby codify that I lawn rue of d unnunnuJ Ilrli ulyll,Aullu,r mrd tiara Mai Illu 'NOI Il:l-" pruu Mon I.oIuJr 'on reverse UJ
side, and know IhoLimo to uo two mid cimiuul. All I1luvlfhrn n11uw rnl ou Unrcl II e0 Jllf
typo of work will be complied with .truth✓ oo.flod her . Illuuyrn rut pt
authorityL.10 owe violate CEI Jw Erw11lonr o1 urlvt(Alm ul+u u� local law rpilenrpl c0 trJ01 o ur,le
performance of coM ctIan SEE REVE 008010E F0111E01110E01INSPECTION
o1
DATE OP AP PLIEATrOta SIDNATUA,01 APL,EANT
OWNER
CONTRACTOR
IN S
E
SET ACKS
K
8(300
01 e
pmlamo 68ga
Plumbing
SEPA
Other ISNCINI_
TOTAL / 68'-a
8°1'5-633'
02•
A
a89
.a
•680,00
?090 8
09:24L80,
INSPECTION RECORD
LOCATION
TYPE OF WORK
FINAL INSPECTION:
REMARKS: