1980, 08-12 Permit: M80-5103 InspectINSPECTION RECORD
OWNER
'.00ATION
CONTRACTOR
NSEW
SET RACKS
TYPE OF WORK //
FINAL INSPECTION: '1.2-#) 11:24 1 '
DATE
REMARKS:
/44 t) 4 t RC?)
2-tO Oit2 /74
10.0111101
APPLIC4TION/PRRMIT
SPOKANE COUNTY — BUILDING Culp DEPARTMENT
MOAT,. 1111 J!FF1R1101. / YORANI, WA.NIMOTON MOO / I 0 dy)fr!
APPLICANT. COMPLETE NUMBERED SPACES PRESS HARD TO MAKE 3 COPIES
Je0
1. Lor Aeeoll111. 430R � paid i31
ELJdnnolumtl
2.
OwMAR r RA
ADDAMS
CONTII T R
Vie_/q4k
LEGAL DESCRIPTION — SEE ATTACHED
CIL NUMOEM
ocwoNen
ADORaa
Acton Set Soon In PM
`R NO .51.0`sus of Para.
4030
07
00 111.I4ereA
P« Glen
amasser
hobo rw
00M 000 OR«b
.ro� C10ANla OP USE PR0N
a1r
VelloallOn
TO
'. Orr 0 Naw 0 ALT ¥AOrn. 0 APL 0 Mia.
wORn 0 ALD. 0 PLM.. lk0 .LH. 0 POOL 0 OTNs.
VAL ' .1RCa ON
Vrlunn
Delwin Area In M. Pt.
Male ewer u.OM P1000 IiYNe«Area 1 saes...
Are. el 00.. Alni monk I 1111, aewmenl
Mo. 8.110 I NO. 010130 NA Atom. INo. o/ Dwnliner
Il R«'d,
x11RT'PJCA
1 IXIMRI
eat f
WATER
owner..
PUMN ❑01Net. 0
I hereby o.rtily the. I hove read and l.Mnined m's applleannn and Awe read the "NOTICE" p'wI.lone hxluMd
on mons NIA. and know the same to be true end cornet. All pr0wpons of laws end olMnanu • Oo-vnInC M4
type of wale w111 a oomptled mils whether sp.Mbd her.In or nm. Th. pr.ntrnp of n porm', dues not pommel
m O1« outorley to 0101st. or 0.noei the proylnon. of !ny other 11111 01 100.1 I.w rapulalrne conetrumien or M•
`0Ptlorme.aa 01 corntrueudn. 466 REV6R116 EIDE FOR R60UIRED IN*P130 I! V
LAE COOL
PATE OF APPLICATION S—a?s- [O
ER6CIAL APPROVALS
Juma OAT■
SIGNATURE
Pk* Moroni
T..11e H.
7071,
),ICTAL CYIDITICN,
FOR CAS APPL
PIPE SIZES
PIPE LENGTHS
BTUS
FEES COLLICrib
R« Lick tO.C4
OEPA
MntOls Hans
OlOor tewcllyljj]] ��.,./�
TOTAL a` �!
02•
•900
- 9.00 1
• .00d
E .000
51 C20
05-29-e
.114
P 61177
M TN MACHIN VALIDATE VALIDATE n ILSUrr; SPAGC