1981, 03-13 Permit: 80-9589 InspectOWNER
CONTRACTOR
N S E
SET BACKS
INSPECTION RECORD
LOCATION
TYPE OF WORK
W _FINAL INSPECTION:
DATE REMARKS:
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDINOC DODES DEPARTMENT
NORTH MI JEFFERSON
APPLICANT• COMPLETE NUMBERED SPACES - PRI -C IIARD TO MAKE 3 COPIES
A
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LEGAL DESCRIPTION — SEE ATTACHED
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0 naw 0 ALT. aAD'N. 0 RPL. 0 hive. 0 OTHER
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main Floor 000e Foot. (O.nMAr« I Sm..
lawman I Winn. annum -ant
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CERTIPICATE
N EXEMPTION
Enure. Obi ILOW1Nn frau
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I hereby anglify tlml I horn mon 91111 OxMlnllad Ihn PI1pllenniTI 440111mr0 lad 11,, ....1,r ' W
On Win. Mo. •000 (110771110401114 11, 17. Run And cuiroci A11 IIIIIv01tRD of Inw..0..0 i.µSiam In 1 pnw111la
1 112
type of Wolk 111 110 OMAMIS 011111 *11.1.1101 tpwc111«I 1911.111. iii nor Ihu prn,lln! 001 i. 1111
per10rmnln 01 001741 dbun.SEE REVERSE SIDE FOR REQUIREDIINSPECTIONS 1II1na .onnrunlOR or Inn
DATE Or APPLICATION 6-a�-4o 5,, •NA'NNE Or AP/,RANI 1.LI+R21.1704:110.-)
SPECIAL APPROVALS SPECIAL 0011WT1ONS1
NAME DATA
I
00001e012 U*E 000*
NOR 000117. 0I
ISIS COLLECTS°
EIn4
07.11010
Plumbing
row,
3,
4. _pq
nm 00441
SIPA
IMIIR 11440
an. IEp.1ilrl
TOTAL E .OU
V.I,NMACMINF u91IOat.0 IN
Gu• •9.00
.9.00
•9.00
•000
05004
09-00-80
o 6079
T1415 SPACE.
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