1981, 11-30 Permit: 80B-4793 Inspect77,10 0 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
N000+4 011 JEFFERSON / SPOKANE, WASHINGTON 99260 / 150914611-3676
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
ANLADDRESS
izeg- IAA&
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
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PARCEL NUMBER/S
ZIP lActual Sat Sacks In Fee :94..a. Oren
Size of Parcel
Zone CI•sallicatIon
ZIP
Typo Cons,.
Ocesp•Onl
Sprinkle..
0Vs• 0No 0 ROWE.
PHONE
aluation ItoOditoAt.. In Ss. Ft.
ZIP
1005. ars. Area
St orals
etwasoruilr.„ TO
200. 0f5.015.
Fl 111111316114
Unfln. Ilawanvont
b NEW 0 ALT. 0 AWN. 0 0 OWL
61.0. 0 ',me. maeR. 0 M.H. 0 roc,
0 OTHER
fiLtre
ELECTRIC WATER SEWER
No.6811. 09. Wolof NA ROOTS 1..NA of DANS..
CERTIFICATE
of EXEMPTION
'nun' C""' ""'"*" (A,") FEES COLLECTED
A6 Cope
000.1,010
Pub. 0 Private 0
•,41 I EFIRIOV certify that I have read and eXarnined this application and have read the 'NOT A' provisions Included
M.N. MORI, and know the same to be true and correct. All provisions of laws and millnalices governing this
typo of :she lotdrityg .bewc.oh.m.: .1 erd.wni ctbo wthh:t7h1e0r0Lec,,t: 10411 alineylvontihueir i11100t.-1017,0gc$aairxwg ee
- 7 parfoonanof of conatructIon. SEE REVERSE SIDE FOR REOUIHEU INSPECT! NS
DATEOF APPLICATION id PO SIC NATUHE 111 ,PL.CANT
SPECIAL APPROVALS
NAME DATE
Alamo
ars.
g. Engineer
OP (CAL CONDITIONS:
SIREN $
SIISSIng
Plumbing
Or 7 aa -
We,
Panama
SPA
Mo011a Ham
Othor ISpoolly1
CW_
TOTAL
01*. •7.00
0.00
.700V'
479.7/
12-11-8Q,
6479..4
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OWNER
CONTRACTOR
INSPECTION RECORD
LOCATION
TYPE OF WORK
NS E W FINAL INSPECTION:
SET BACKS
DATE
REMARKS:
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