1980, 11-07 Permit: 80B-2364 InspectIP4MN NUMBED
2— A0133
/o ja/%b0 SPOKANE COUNTY-- BUILOING.CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 99360 / 15091 456.3615
APPLICANT CONIPI ETF NUMIIFRI fl /h/LLS
P!ft ., " ` TO Mkt( L3 CUP! FS
JOB ADORES
) 2A
2 4D�'ry{ 5 &utteLtO(,4t-x, Lt.�ip .L.6-A,.L.6-A,1 � 1:, t.Ype t3,Qa-N3. p y
FAP#.# on /3.0-0-/3.0-0-yr,asfL
.O.r, AL1{1J-K44.3s.0
•ryE.fSs aSf, -71
4. .Q.. E.a/
9i8-cz�
DESIGNER
S' ADDRESS
* FIANO0 OF USE FROM
TYPE g NkN
7, OF
WORK �O•
-4 —T
LEGAL DESCRIPTION - SEE ATTACHED
PA DMOER/S /A74/—a",7
,/.JJt'Y//NSON NCO/P/ON
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We
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of Pp.
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y -N
am. ..Incaelw.rl•72oneG
1<44:4L c4r
Occ3panCY
R-' T
❑NP ❑ Reis,
PRONE
SURD., Rt.. S3. Ft.
ZIP
UP Eta,. 1 Gals AA.
Star see
STD
ALT.
❑ ALT. A4AO'N. ❑ PPL,
O FLAIR. 0 MECH. 0 M.N.
❑ mal.
Q POOL
0 OTHER
bE C IS[ pketzk ,�a� ��
yy/, UA SOURCE OAS ELECTRIC WPTCRSEWER
Y./QgOQ flLiilES 7
a Pf OOIW Flnlmeg BMammt Unfin_ Barmrnt
Na. ERAa1 / Na. MOW
CERTIFICATE
OI EXEMPTION
Enum. Dlat.
Location 1010)
NO. RCM. Na, of Dwalnnaa
Rscd. 'Nut R•E'd.
X
Ownarmip
P3HII G Prlvat0 OQ
USE CODE
1 hereby uvetll/ that I have r.:dtl .Ir,1l a null Il,n d utln .ru..•, r .,11•
n reverse sldu, and know the same
a.'rir 11o,r,: •I
Npa of work AO he complied w Wheem, ,yeUi.e,, iCrt,r .. .,
60 glee eethu,Ite to violate or kaekel qrc provedom of .rny r
parlormanoe of conetruohm,. SEE REVERSE SIDE FOR REUUINEU INSPECTIONS
DATE or ArPcICATIUN ./_QC/a'F'r5' / _ �I�,u„ �,
SPECIAL APPROVALS SPECIAL CONDITIONS,
NAME PATE
Err r,
i, ra ntr a'lotl�n
111/V.1111111 1[11
e
.nrl11rlrtrurl swum
6
,l/CATNCR OK- 91 -3u -P/
MA/N F ooR ^04,7%,4, 'E11,0.d.I.,,ea
FEES COLLECTED
90N E
'y O a a
9314)90
Plumbing
Mach.
Pim Chock
SEPA
MabIM Noma
CIPN i$Pacify}
TOTAL
-1,1
10-21-80
6479
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
c
FINAL INSPECTION: 2.72-3 �'( �a��
DATE
/1-7-9)
71)
REMARKS:
414-e/
4
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