1981, 02-10 Permit: 80-9614 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK 7�
FINAL INSPECTION: .2--/04/ ((/1g Ze•<.)
DATE REMARKS:
r%c %m' ise7 siY1n (.e c 11
MLA*N71eMER
1
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH ell JEFFERSON 7 0ORANE, WASHINGTON IY3a0 / (*W14631307E
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
ADORER
Rimer Rood
ausloisimon
1 Ri C. Winning
ARORm
M, 1322 Ramer Read
CONTI1ACTOR
137i5
LEGAL DESCRIPTION — SEE ATTACHED
92�9l4�6
RCEL NUMe1RA1
.ONE
ACII,lI SW 6.Ck. In F0M
NNM len Os
ol
SIN., F..007. CNNIRun
JO
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mama
ZIP
TTM Conn
O¢lvenca
Oyer o o 0 Rot,
PHONE
Nee Are• In 1R. Fl.
OI:M(R{OF 041 PR0
ZIP
MNP neer 1 UF.W ;NW.
NA ANA
tarn.
0
Are• of Ree
nn
monk
niM. eoNm.m
TYPE
OF
WORK
0 NEw 0 ALT. 0 A0'N. 0 RPL 0 MYE.
0 000L 0 OTHER
D a10. D sum 0 Maul. 0 N.H.
a5R1. WORT{
Soft'Matar
SAI.uAi
No 9.ttu
No. storN.
Na. Roosts 1No. of Ow.1110..
CERTIFICATE ( 505.41. I Roe
Leon. OWL rLwlbn (A Awl
el EXEMPTION
e0u OE
VTIL Itl
o WATEA
EEWER
O*0WNIP
900IIE OF.N.t. O
I hereby coral., Out 1 haws rod And en.rnIn.O Imo apphc4hnn end hoe. 10e0 the T0,3
an revef.e nide, end know the same to M 3 1 E173 9011091 All provoloro 01 1.1 anti
type 0f Roth will W sampled with whether specified Renin or 11.11 rt. granting 01 a
10 gale authority to violate or Cancel IM provnion. 01 NW 013(0. flan or local law 15(3
performe•as of ce•Rtnl0110n. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
RATE OF APPLICATION 9/3/80
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAE RTE
Va6 0001
I ICL" 1110Vlllonl melt/dee
orrlll,MTC0. O0V4/nmg lhl1
W.I., dot 1101 omen.
IIERf4 COO.,rocIOn Or Ph.
SICU/ TIME, :. NI. 1.. 01,1 �
M
of R.e'd.
F519 COLLECTED
PI.0 Check
SEPA
M.WN 007.
GAWP 1E0. 0E1
TOTAL a 3.00
1. 3..
•30
•300
•3005
E •1100
r ...
9-i:R-80
21117X'1.1^•
ale
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