1980, 09-12 Permit: 80-9599 InspectOWNER
CONTRACTOR
N S E
SET BACKS
INSPECTION RECORD
LOCATION
TYPE OF WORK
W FINAL INSPECTION:
r
REMARKS:
PLA
NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NOATN 611 JEFFERSON / SPOKANE, WASHINGTON 66166 / 160611640676
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ADDRESS0
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
9
9 631'
PARCEL NUMSEA7a
7
.72/6
CON7RACFOR �1
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a 57 r
OAIONER
.M1775'
1 �I9E?v�
PHONE
AOO60 9
010
Acleal W Sacks M Pad
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TVP. Caen. 004,106,0,„1010
11x
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1,11 100 Mu Winn Area In SG FL
Mak FMB VPD0 Nam OW4S, Nine 61«460
CHANGE OP IPROM LTO
CHM
Area of deka I Pln0M0 u.men
Unwin. YBMdnI
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7. WORN
O New 0 ALT. AO'N. 0 RR. 0 MVS.
O 6L0. O RAB. 0 MECN. 0 M.M. 0 POOL
0 OTHER
No. novo No.'wool No. Roemr eC o. or Ow«nMa
A
CERTIFICATE po. R a. ryol RKd.
a EXEMPTION
MESC EE R
B. 0,l.l7AT, S011 A//II
CC I 0A1 ELECTRIC I WATER R OR6611P
B. 0TluTlu Puede 0 knew 0
En,1m. Gm.
Local. IA,.I
NSA COOS
111/Ia W candy that I hay, rand and examined Ihn application one have .061.1 0111"NOTICE” provisions included
Bn 1araTido, and know the 10110 10 be Rua and 401.2111. All NIoo,1i000 01 lows end ordlninoft pp0elning rhes
• Wye ofwork will be complied with whalhel specdwd heron or not. The granting of a permit daft not presume
M glee eulhonly 10 .,Ohio or cancel Lha provialons of any nthar slat, or local law regulaling 0OMI11411O0 Or the
performance of cnmlruellon. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE. Of. APPLICATION SII.NATURI 01. APPLICANT
moms. APRIOVALB
NAME DATE
Cho. 04.11h
Ire
M'BOAL RONWT1ONI
FEES COLLECTED
0 nal E
Bulking
Numbin6
Men,
Ilan C11Wk
'EPA
M0011. HOME
OtM1 I8P.01ry1
TOTAL
M
So :7579-
+110O ?5
+1300
.1300 n
013005
'000 $
9.5+004
09-074—e0
H 6679,
•