1980, 09-12 Permit: 80-8918 Inspect--
APPLICATION- /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH511 JEFFERSON / 5FOSAN5, WARRINGTON 99350 / 15091 415.3571
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
ZOO 2112113112SS
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CONTRACTOR I
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DESIONKR
5. ADDRESS
CHANDE OF USE FROM
17. of
MORN
ORCRIEE worm
i 1 .,;Tar u,-.1 M�It•T PJJMF
VALUAT SDORCE OAS [LE[TRIC I ATER
T
a.
TO
PHONE
JT` -Salt
LEGAL DESCRIPTION — SEE ATTACHED
PARCELNUMEERry
r, ,1
POPP SO 4O„m POO
/101 150917
PHONE Sue or P.,.
-ZIP
v9z>,
ZIP
/./
Two. conn.
MONS
0.105107
21P
1.1n Flea
Uppa P1001.
CI Porta.
13 7,.n.
O ALT.
0 A3aE.
0 AWN. 0 PP, 0MVS.
IRMECH. 01LK 0 POOL
0 OTHER
Arra or D.CA. IPlaw.e e...m.nl
No. Etna I No. Stan. n Ream; Ino._ or ...moos
R..' r., Ry'a
CERTIFICATE
el EXEINFT10N
Rp'e.
12n11n, bMmm1
Enum. DPI.
Lorallan Weal
SEWER
OwnW.nlo
Arm O0N.at• 0
1159 COOK
1 panty certify that I ha.E mad and Examined this application and have lead dM 'NUT ICE" provisions Includ.d
en 4175155 side, and know the HRe 10 W Pub .11d comm. All pIV.IROnf 0) laws 410 47;101010n 940510)75 INS
Wpm of work wall b complied with INNING 557.611011 hone; ,e nul. The 500417)1 01 . 1;7117,1 does not Platen.
le line authority to viola. or cancel ma prori1Onl of any utN1 Mela or local law 01Pn011110 conttluetial or da
Watermance of eonrtruetion. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF NTLICATION CA 3TC SIGNATURE ur NWLICANT Q
GEC41 APPROVALS SIECGAL CONORIDNS:
.MME OATS
1
FEES COLLECTED
51 91 5
5010175
Plumbing
).loch.
PIN c5
SEFA
Mobile Nom.
Omer Meetly)
TOTAL E
FERRIC. N5R0SER
04 • •9.00
•900 6;
•2000
•000 8
89159
08-21-80
3 647%
A
_,yJU ILMACU1p1 00.3.0) U,I,Llq_trim.,..
OWNER
INSPECTION RECORD
CONTRACTOR
LOCATION
NSE W
SET BACKS
DATE
TYPE OF WORK
FINAL INSPECTION:
REMARKS: