1980, 06-11 Permit: 80-5055 InspectINSPECTION RECORD 3
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
T BACKS
DATE REMARKS: / /?
6
• "�"' "' APPLIC/\T10N/PERMIT
SPOKANE COUNTY — dUUILDING CODES DEPARTMENT
1. NORTH Ell JEFF Is ROOM/ SPOKANE. WASH INGTON ee /IEWa aa0.3675
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 4COPIES
JOE ADDRESS EGAL DESCRIPTION —SEE ATTACHED
a
' No, eelna I No. Ploen I No. Rooms Rea. Roam
rvPt Qi+acw ❑rr/A��LT. ❑ AWN. ❑RPL. ❑ Mve.
T. ORE O OLD. XPLkall. 0 MECHI 0 M.H. C3FOOL O OTHER CORTIPICAT! as o K�
tL 1 / TCS PEES COLLECTED
VALUATION IRAEL RIC WATER Sawals
9. uan°O�las
sinal. t
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
se side, and know the same to be true and correct. All provisions of laws and ordinances governing this S.Ildl,
type of Work will be complied with whether specified herein ornot. Th ing of a permit does not presume ��
1y authority to violate or cancel the provisions of any other state o I aaw reouleh orlon or Na Plumbing tip.,
DparATE ftp ��l oo wo[ion.
DATE _ SiGNATUR Z I kleah
VICIAL AIP10010ALt SPECIAL ITIOM:
DER. RED'D. Rill Man Check
[nr. Walla
PNnnIrIE SOPA
Fla Mamseal MebIN Hame
mFe iM.ai Dow Idolalhl
.0 is
TOTAL 6
Zona Clwran - /" 11"R
ERMIT NU
DATE
os• e2an
•2800 6
a2800tf
E eao0 a
5054,-
o5as05=28'-80
05=28-80
•