1981, 05-15 Permit: 81A-4752 Inspectt
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
FINAL INSPECTION: 7-'5 3
RI S E W
SET BACKS
DATE
REMARKS:
at, PL c /
APPLICATION/PERMIT
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HATE ' 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANt, WASHINGTON 99360 15091 450 2(05
APPLICANT: COMPLETE NUMBERED SPACES - PIR F S`. 11."1: i ; O M AN I 1 •
00 POOR SS
LEGAL DESCRIPTION - SEE ATTACHED 1
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OWNER
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PHONE
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CONTRACTOR
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GHANOE OF USE FROM ITO
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spilt En=ry SOlt Level
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WOSR O ELD. DE FLMA. 0 MECN, 0 M.H. 01 POOL U oiNER
aon
Na Rain, No. F�oon Room, I nec Room
CERTIFICATE a 4 d Roc a i m bead
of EXEMPTION
DEICRIEE WORN
9' A1 rtXYLtEtr,
fEES COLLECTE:J
S.'Ao S --
V 008 ELECTRIC AMIER ' SEWER
VALA ON Soora
9. min.
I hereby certify that I have read and examined this apph.arlon and have rejd ,lin 11,"
i reverse side, and knot'„ tae same to be true and correct. All hits!,,,,, i•I IJ r..i_
type of work win be complied with whethe, specified h rein m i •irii 's
to Dive authority to violate or Cancel the pitvisrons Of at y other CLOP E. J IJvv 1J j �nr 1� "
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