1980, 08-01 Permit: 80-2630 Inspecta �
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
-
/I
1A, NNO
' !� • , , r�
eea A L9CATION/PIa rWa Dir
- SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH tt t J[F!l MOH , / 15091 .ea-]a,a
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
DOREss l InCI r� O __ LEGAL DESCRIPTION —SEE ATTACHED
H! ❑ ALT. C3 wp•H. 13 R.L. 0 M
7. Wo,0 BLD. 0 FLMe. 0 MECH. 0 M.N. ❑FOOL OTHER ClRTIFIGT! ap arr
& ------ -- FEES COLLECTED
Vwl fOURC[ awf a .4a[CODE
a UTILITI[! L ciR.c i[R [aw[a Fuanc ❑AHHe D Single S
I Hereby -r it, Mat I have r.ad and eaamined tont application and have read the "NOTICE" provisions included
reyv,, side, and know the same to be true and correct. All provisions of laws and ordinances governing this
f ty a ul wnru will he complied with whether specified herein or not. The - n Sullding;
top ive authuld in violate or cancel the - of granhng of it does not nresume
9 Vlov isinns any other state or local law �e ,�,g construction �
K SCE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE nF AfPI.ICn NT. .G�_Z�
SPECIAL =VALESPECIAL CONDITIONS:
Plan quack
SEPA
Mobile Home
_'_�•— __— Other Specify)
sa
TOTAL ZZ
ct .�c t.annn
e CO
24-80
6479