1980, 03-24 Permit: 80A-9909 Inspect», ,,. _ `:2
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APPLICATION/PERMIT *p
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 /E/PIRSON / SPOKANE. WASHINGTON 99250 4 hear ESRsEEE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOS ACDRESS /� 90 ?
ISI I 6LOLK }SUOOIVIRON
Owner/
.aJ.Cerrc44, .
• ADunes
LEGAL DESCRIPTION — SEE ATTACHED
./
CONTRACTOR
s A - �yL 7 ,7.427-'l
ADOaEss/�Ai J I -7 ! n /
DESIGNER J`
▪ ADDRESS
PARCEL RUNNER'S
Ma.v..Ll 6c.. In foot
seven
ENE of EZORELEEellwxwn�
PHONE
TE.. Coon.
0N«Iea4*.R..A
Or.. ❑na 0 R.0..
V.Iraltan
eOlalna Ara. In Ea. PI.
SIP
G HANOE OP USE FROM
0.
TO
aos PERI.
Owl Aria lsEsomal dont/ .lI
Om.* Mob
R.nen.r
Soot ERNE
E 0 NEw 0 ALT. 0 AO". 0 RPL.
7, OK 0 61.0. `p..PLMO. 0 MECH. 0 M,H,
wOaN
D EXRIBE WORN
8.
VALUATION
O.
I hereby codify. that I here read 0114 examined thea applicahoo end nava reed to "KOTMCL•• IKOri11d16 It luded
on d995me 9 side, and know rho salmi to be true And .GrrveL All provisions of Taws s)K1 pmrowu.. governing this
tyh.Hr walk well iw GOmpliad with whether spedfled limos 01 NOL TOn grunting 01 d Noon ADCs not presume
Ica girt al,IIIoIity to violate or celladl the pr./Arlon' 01 any other stat. or lee, Ilw raguiainl9 LUIISIIUCtlOIS O! 011
utlllx..
OAS
0 MVE.
0 POOL
0 OTHER
.Otto. Flap., Ha. R
CERTIFICATE Roo,
of EXEMPTION
Pas Smart
051'0. rot ROWE.
�4rf
ELECTRIC ELECTRIC
WATER
SEWER
perlOtm0,A.V 01 CO.4IIOCIi011.
DATE SIGNATURE
D en.
SPECIAL APPAOVALS
0E0.0. RECD.
• Kent
I I Pv. Nrar..,. -- I1
CA. EMw.n
} Ion.
SPECIAL CONOITIONII
FEES CULLECTED
Simla E
pulldl19
PIwnems
MOCK.
Nn Check
SEPA'
Walla Help.
01h10T lso1aII4
TOTAL
$
DATE
PERRI! N
03• •'.550'
•550 EI
•5508
'000 8
4908,
01-08-80
, 8 64110
/- 8 --`D •"`"h, ; r
•
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR.
N%' ••';S E
SET BACKS,
TYPE OF WORK
ti
FINAL INSPECTION:
DATE
REMARKS
9 Aut./