1980, 10-21 Permit: 80B-719 InspectAN
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 98200 / 16091106-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOR AooRc/ss 2 T Q� pit/ /
LOT ILUC Q
LEGAL DESCRIPTION —SEE ATTACHED
T U1VICE I/
2 I
PARCEL NUMBER/5
OWNER
•
a IWALrr,N R. M cccr
80091
92y.3yn
ADDRESS
e.//'T .P3a0,VC
MP
47r/L
Actual Sat Bacer In Paw
NW.I50uth 0 (West
CONTRACTOR
4. *SAVE 0
PHONE
Slwor ParcelZone CNMflcellon
r ADDRESS
Seaac t
ZIP
Typo Conal. Omiipanry SprInMarw
0709 DNo 0 R.R'd.
DESIGNER
6.
PHONE
Valuation Building Area In So. Fl.
ADDRESS
ZIP
Main Floor Upper FIoeN Garage Arm Storage
CHANGE OF USE FROM TO
e.
Area o/ Docks Finished Basement Unlin. Bamment
`
TVP[N,
%, OF EINEM 0 ALT. 0 AD'0 RPL 0 MVE.
WON❑ BLD. 0 PLMe. El1MECH. 0 M.H. 0 POOL 0 OTHER
R
No. Baths No. Store. I No. Rooms No. 0113001111191
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CERTIFICATE Req.. Roc '2. Plot R.•d.
of EXEMPTION
DESCRIBE WORK
a / A.t7�000 •Fy eirnc�
Ellyn, at. amnen (AMU
FEES COLLECTED
RCE Ae Ill [LSCTRIC WATER {iW[R
B. UTILITIES
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I hereby certify that I have read and examined this application and have read the
on reverse side, and know the sems to be true and correct. All 000011lons of laws
type of work will be complied with whether specified herein or not. The granting
to give authority to violate or cancel the provisions of any other nate 07 local law
performance of coristructIoo]n.SEEREVERSE SIDE FOR REQUIRED INSPECTIONS
"NOTICr' oruviel ne Included
and ordinances governing this
of 9 permit does not presume
regulating construction or the
EI $
0
Building
Plumbing
�\
7
DATE or APPLICATION -- .R.3- SO SIGNATURE 00 APPLICA 42V) ..?72 .E1EJt_/
Mach. C-'...
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
.
Plan Check
En, Health
W'
SEPA
nn ng
Mobile Home
faan0.11
Other lepactIvi
C . Engineer
Hes
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TOTAL $ 7 dzj
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INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
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io
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