1980, 11-18 Permit: 80B-2871 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
TYPE OF WORK
N S E
w FINAL INSPECTION:
S BACKS
DATE
REMARKS:
SPOKANE COUNTY SP BUILDING CODES DEPARTMENT
NORTH 91t JEFFERSON /SPOKANE, WASHINGTON 59360 / I6oa116636]6 4
APPLICANT: COMPLETE NUMBFRLD SPACES -- PRF S.ti 1 iARD 10 MAKE 3 COPIES TOt
ADDRESS LEGAL DESCRIPTION — SEE ATTACHED (a :7 0 G
RCEL NUMBERS
2
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V al EXEMPTION
SCRIBE wo Enum.DlR. ut-111„1
FEESCOLLECTED
VAL A O SOUORCE LECTRIC WAT R SEWE0. Ow„Dhlp OSE CODE
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1 hereby certify [hethave reed end a nPU th la a eel ic;ll Ilii h ead the "Nor i it'.I ” Ilcl.6,J
on side, end know the s le u he true anal �� ri.cl All ISI u�i��en 1- lif IJw� ,n oslsluvallliny Illiv
type of r work will be ,plied withwhether sp-,t-1 In�l„ni n Thi gren troll r�l�i ,� it <lars nnl presumn
Rulltllnp
iLr,ll ri or the
to give authority to —We u cel te hpro rit : n rl lhnr s I ""I Ixw lenli
per lermance of oohdo,.-on, SEE REVERSE SIDE1 FOR REOUIREU tNSPECTIONS 7 r
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DATE OF APPLICATION�0I�
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MAP.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Chwk
$EPA
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Mobile Home
Other ISPecify)HillY�b
V. rr a
names
er
TOTAL S ��
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WHEN MACIIrNI vAl IDAIFD
Illl.ln� r�rylr ,� I I IIMI
IN 11115 til Af',.
6