1980, 04-15 Permit: 80-1640 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
-,6(942
APPLICATION/PERMIT
SPOKANE COUNTY — BLILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE. WASHINGTON 99260 / 1606146b3676
- 711-0-1164 0
APPLICANT. COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
00 ADORES
LdTT 6LDR IsU6DIVI510N
ety,l
LEGAL DESCRIPTION - SEE ATTACHED
4
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.9Go696
PARCEL NUMBER
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`- R 3707
CONTRA
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With169910
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ane tRNlfleatlonst
6.
DESIGNER
PHON!
SprInklar.d
❑Vas 0140 ❑ Regia
IulldIng Area In So. Pt.
ADORES{
ZIP
CHANCE OF USE FROM
TO
0111 Entry
P1It
Rancher
M. 0 NEw 0 ALT. 0 AWN. 0 RPL. 0 MVE.
T WORK 0 Bp. ..P.. 0 MECH. 0 M.M. 0 POOL D OTHERBIAS.LM
o. Bann
No Floors
O. Rooms
Roc Room
OE60RI11 WORK
VALUATION
a
eT
/ io
CERTIFICATE
I EXEMPTION
Reo
of Rea,.
LEPTR
ATER
EWER
I hereby certify that I have read and a 0416 this application and have lead the "NO11LL included
reverseon
side, and know the same to bel true and correct. All provisions of laws and 00l,nmisys governing this
type ofwork will be complied with whether specified herein or not. The granting of .I,n does not presume
to glee authority to violate or cancel the provisions of any other state or local law regulnlm�, construction or the
performance 01 COMtrUCDOn.
DATE
SIGNATURE
D ER.
SPECIAL APONOVALB
RIO'D. RECD.
Env. Heolta
Punning
P W M.7Mal1
Co. BAD
tAllltlea
SPECIAL CONDITIONSI
Sore Clearance
r \ t,
I:
FEES COLLECTED
Single $
Building
Plumbing r3"4)
Mesh.
Pin Cheek
$EPA
Mobile Home
Other ISYeeifvl
TOTAL
lam_
DATE
*050
*550 6
•550tl
•000
1630E
02-28,-80
a 6472. ..Ire
S/HE MAB141NE VALIDATED IN THIS SPACE.
THIS RF009ICS A PPRMI-
•