1980, 06-12 Permit: 80-5595 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
C,q�� le_
APPLICATION/P.AMIT
@POKANE COUNTY - BUILDINO COMM DIIMIflMENT
0000 TR 111 PIP PRAWN 1 1101tAN0. 00001111000T000 NM 1 mI IEF1EI0
spilt ennla.
APPLIGANT: GOMPLt 1 t NUMDtfED SPACES w PH 53 HAND 10 MAKE 3 COPIES
LEDAL DESCRIPTION - SEE ATTACHED
2G -D55S
ir
99r!I6
PnONE
ZIP
ZIP
EP LM PROM 1TO
a 0 Nov 0 ALT. 0 AO'n. 0 APL 0 PAVE.
won., 0 ,Lu. 0 Pl... M Ml0n. 00.0. 0 .o0L
0 OTHER
PARCEL NUMNS
ne,up S.1 .!n Pew
Morn r..11l000
I41 or P.rcal
n. CUNlrlplwn
0+w ONO A 0 A.A d.
.lurnon iy1MIoP Arm In 00. Pt.
SUM PI I UDP.. P.... 01[001.. I PtoNM
Awe N O. IIW ►inWly 1 Uniin. la
No. i.tnl
No. etsw. I Ns. -nem.
O0ATIPICATI
.. .o IIAtPTION
num. .. Low
Aro,. 0.'d. N nen,.
IO0 0I I OIV
Itl
LICTAIC -ATEA
oem.M1I. MI 0000
P01110 0IMw 0
by artily IMT I have reed end .o.mined this Epplh0000n End hove reed 1000 "NOTICE" woylelory Included
Meru Ode, and *low alt. anew to b. me end cornet. All prnvi.lope Of leve end ordineno.e governing 011,
01 *RI be comolled whetter whr.r .peclf1d henget or not. The granting of a permit 00.1 noi imam.NorIty to vINHe or cmwI alt. provILione of any other 11110 or local law r.pAalnE comtrootIon or DN
of coavucnon. EEE REVERSE SIDE FOR REQUIRED INSPECTIONS
+' DATE OF APPLICATION G'/O—FY SIGNATURE OF APPLICAN
_ .
SPINAL APPROVAt3 NO ML OONOITIDIAI
1001al bATI
' Ln..11..I1h
Nan
.10.1.0,11
aid. w ENO.,
Non, Wmil.
,
76.4[
FINCOLLICTID
00n 5
5000000
PhorpNV
ft�
Pew 0, .
WA
WW1 None
()War 111.111
TOTAL 4�
( .. Sri .,, PAPA
pi. •7.00'
• 7.0
•'t0
E •00
55403
00-I1-80'
i.
1
AmaN. 000I:N1NP VAI.I0ATFO IN TN4e_.PADD