1980, 12-12 Permit: 80B-4814 Inspectti
INSPECTION RECORD
-0-W-MER LOUTION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
2- Werth
i
N R APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
� NORTN 811 JEFFERSON I SPOKANE, WASHINGTON 9gZe0 / 16Wf aasaa]6
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Do LEGAL DESCRIPTION — SEE ATTACHED
I. I C_
RCEL NUMIER/3
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ow
ADDRESS Ns, all Set 1111. In FeN
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tp ttoP I 1 rI PHgVE _ .1 wrwl zone cRDlnauon
E' ADDRESI 21P
£' CHAN*KM PROM TO
a
'vsrR di— ❑ALT. D AD -N. D RPI. D MVE.
v" 13 OTNfR
YARR D — O w,M.. D still D M.H. D POOL
& _ —, _ — __-11_11 .. _—
A
FEES CO"ECTED
P 30pTe OAS ELECTRIC WATER SEWER � 'uMrp USE CODE
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Birlale !
I hereby certify that I have read and a.ari this application a Id have read the "NOTICE in—,s ons included
on reverse title, and know the same to be true and correct All provisions of laws and Find nances govern ng this
BuIIdOp
type f work will be complied with whether specified herein or ,or. The granting of a perm t does not Presume��
authority to violate or cancel the provisions of any other state or local Mw .egulat ng Construct on For the
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=
Peel erhaahiss of ecnstruction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS n�9 d� bf
Numbl
DATE OF APPLICATION f J SIGNATURE OF APPLICANT ___ _
asset.
WECIAL APPROVAIe
Will CONDITIONS:
DATE
Plan Clink
R.i .NAM ♦ r r.
INWT
�^ 'All
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lining
1.s •
TOTAL f
-"MIT
03• .3300 ^'
.3300 K
.33001E
A *Q00 :e
481.3Y
1 2 -1 2'—p p,'
� 64
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