1980, 09-09 Permit: 80-9766 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
9.9-0 '—e —roe/v J Imo; p� j9ro) t►.JD
SPOKINirtaiNN— BUILDING CODES DEPARTMENT
MONTNa1115P SE MON 1 SPOKANE. WAEHINOTON 00.0 I t000400.32TE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
MONO
925-75419
•
ZIP
'NONE
LEGAL DESCRIPTION - SEE ATTACHED
PIENS al NUMBERS
Nxlnx ul R.,I5000
51c. al PROM
'hem Cann.
ciastellation
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Venation I BUM. AMM In SE. 01
K CHANOI OF USE PROM
IIP
M.1n 9140 0.Pw Fban r Ow.nwry r
TO
Arm et data Rehab 0.r.m.n1 0.dln. 0.1.mN.t
n'PP
0 New 0 ALT. 0 ADN.
'. OF
WORK 0 RLS. 0 PLMS. IQ MECH,
❑NHL
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in.
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CERTIFICATE
M EXEMPTION
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'I honey aortIly %hat I hem .0ed and 00nmm.d this 5pphtetlOn and have Ixxl RIP '•4Ir.TICE" prOvinio n Includotl
an nvane sire. and know the some 10 hp true and n
cnrct. All p.o.. ,1u
vnimal 1.. 11.1 016111011.4El
nm werning this
NW Of work will be cWnpllnd with Whelhvripnnlfad herein Or inc The Orall1,1,.1111 .1 permit dam 1101 presume
EO ENO eutlOnry to .•..I..•. .:.11 Ihn provnl0n of any other store nr local 1. 0 .Tadnl inn COnxnn.11On Of rho
Mrfnrmann.• nI cnnctul..v..,.. .EE REVFRSF SIDE FOR REQUIRED INSPELTIEI 0
DATE OF AP'LICAI'IDN=!- -}!d SIGNATURE OF APPLICANT X
!SPECIAL APPROVALS SOCIAL CONDITIONS:
tenons. KW. LPullen f*rw
INE CO01
•.I4a0�*O NAME DATE
Ev. NMlla
Pam INEr.•
Lll.wj¢Pt�Srw iegfEt4 ,Ed t? -9-4)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM OATS OF ISSUANCE
.aid. IN51 ROME.
IVIES COLLECTED
Slog E
B uilding
Plumbing
/i 7 DD
M. n.
O 1.0 .0k
SEP*
moo. Horn.
OMNI ISP.dhl
TOTAL i,_
WHEN MACHINE VA IDAT IN THIS SPACE,
THIS BECOMES *PERMIT.
O191110140 •
9 7 6'6'4 .... *7.9,p.
DATE !MAO .. PEPMIT NO. . ,;'TOT}ai