1980, 08-08 Permit: 80-5693 InspectINSPECTION RECORD
OWNER
CONTRACTOR
NSE W
SET BACKS
LOCATION
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARK :
I.Lf
IRAN
I i1
APPLICATION/ num,
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
0,011 a(I AFFER6ON / 4,06406. wA911041oro, 4,260 1 1601P1 466307,
APPLICANT- COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
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LEGAL DESCRIPTION — SEE ATTACHED
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CIRTr
IPICAT!
M EXEMPTIONon t WOR
UTRI 'EWES
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• I hereby certify Utes 1 hove reed end examined this .pplloatlon and hue read the "NOTICE" provisions Included
on meow ode, and know the tune to be We end correct. All provisions of lams and ordinances governing this
Or of work will be rrowplled with whether specified herein or not The granting of a perrmt doer not prnume
i6 We authority n, mnlote or eanotng
l the provisions of any other sun or local law mowing construction or the
p6riaryno. of ComNucn,a,
PATE
awe.
R.?d. WI Ap'd.
Pn8 COLLIICTID
MNICIAI APPROVAL!
Oert. REO'O. REM
NIlrN. Nrenn
SIGNATLrMF
Fa. Mw.Mi
00.600
01111111S---•
SPECIAL CUNDITIGIM:
POR CABs
PIPS 8IZBBs
PIPE LBBOTBB,
BTU'S,
814,1 E
lvowlp
Plumbing
Moon.
Aon Check
6066
Mobilo Home
OI1.i'0000)71.
TOTAL
DATE
569.21
06-12
1
e
1
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