1980, 10-17 Permit: 80B-1040 InspectOWNER
CONTRACTOR
N S E
SET BACKS
INSPECTION RECORD
LOCATION
TYPE OF WORK
W FINAL INSPECTION: %�'---/ 710 T;v1s
DATE
/ii—
REMARKS:
ins 17 ,1a774* ,1-4.117
ja t 9 4 IZ
PL44N0M000
APPLICATI iii/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE. MASHING -MN 00200 / I004) 400.3070
A00015S
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1
OPp1RR
ApoCSs .f_v
r1Adas r!r4�- /'L 4:14‘4.14
LEGAL DESCRIPTION —SEE ATTACHED
CO OR
[2'YN'L
• AQ RE.SS
90NE-15,47
P /(
PARCEL NUMOERJS
PI4ONE
/1 2S— yq
M Pest
Act. SN
Ha Y.
040000 ISOPIA
Moo or Poreol
'WE4
Ono CI.HIIIOnoa
omordER
5. A0000TJ
8.
SIP
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0.oploaT
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0,0
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CHANGE OF USI FROM 170
ZIP
UPC ❑ Naw 0 ALT.
7, P
WORN O [L4
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Q MICH.
❑ RPL.
0 M.H.
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❑ POOL
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0 OTHER
p,
SIWRO
141.1 hoar II sePr ay. mw I 51400
Ares of 000OUwlaon away.
IPMIN.o ENm.nt I (I01rvin. 04101Mn1
No. 0.141 I Mo. Marko I 4. 1104mr 1Mo. o1 OwNIIrl,
CERTIFICATE ( •q.& f 1 Roc d. rip! 11.00..
00 EXEMPTION I
Room. Olrl, 14.0All00 (ANI
O*NIM10
NOIIE ORN.N 0
1 hetaIy CErtIIY th.t 1 hove rasa Pod examined this OOpllc.IP, and have load IRR "NUT ICE" proohionr I1Nludad
d1
moos 0)80, and know the lams to ha true god cnlrect All ploNllmts 01 haws a1101 UIIIINMNif poy.rnlllp this
type of work will 1N complied with wholher 1pacilit)t huram or nos. The pran1Irlp of O purmlt Joe. Rot 14([wnla
10 Elva aulhorlty 10 0101010 Or anneal the provisions 01 4Iy Mar Hata Or 100.1 Ipw UM)141 N COnttruatl0 1110
ardormellcs C1 ContWptlGn, SEE gEVEREE 8100 FOR REQUIRED NBPE I S�+c\�u,
nnTE Or APPLICATION 9-24SIONATURT OP APPL1CANT
SPECIAL APPROVALS SPECIAL OONDPTIONEI
•
NAME DATE
MUNRO
U SE
COO[
C0.ON1
LEM Hot
REN
fl I
FLOCOLL/CTID
O RION
l
E ulMno
PlumbInO �Jy{
1401,.
Plan Choc.
OEPA
Mobil. Nom.
Oder ISpocilyl
�e
TOTAL s 7
MI/00-100 /1
1,u. .7.00
.7.00
I :,nc
00-29-80
6479.