1980, 12-15 Permit: 80B-4558 Inspect r
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NS E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
2 ^/
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"""`" APPLICATION/PERMIT
SPOKANE COUNTY—BUILDING CODES DEPARTMENT bU$ 8
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON aaaeO/MOM aawaens
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
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.Joe ADDRESS i'
R,�„ -�"LJ PAgLEGAM DESCRIPTION-SEE ATTACHED GG• •1300
LS�7.1' 11-' eER/s '/ •1 3 0 0
I avNER n o7S- y 513008
0.owN Lbns:TC LTlonj qa9-4148 v2S n •000 a
ADDR W 4�, ZIP Actual SM Backs In Feet
C Iti\D n FF KKre.TT DRtd Fit C N NEQ �9 i.jO rarsn �seutn n Zona,cee.ulc.::" 4 S 5 7 E
.420,-NA1 HE AT tNG `�NR L,nNrnT ION,NtT -9501 Occupancy 1 2-08-80
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�I rN conn. a 6 4 7 p
£.VK LilEtL.E -PoKANE y',f�. YQ�j�� Ovo O.Sprinkles.
Rep.O. ^'
OlaIOWN HONE Veluetlon BUIMInO Aree In So.Ft,e
ADOR[fe ZIP Maln Flepr Ueoer Flap e«N Aree SloreN
CHANGE OF USE FROM TO AIM of Opk. FInIMee eeeement Antic.eea«Nnt
TrR , a1W0 No,Bnn. No.Staniar No.Reams 1No.of Dwellings
7, OF O ALT. ❑AD'N. ❑RPL O MVE. l
WORK ❑BLD. ❑PLMe. IA[CH. ❑M.H. POOL OTHER CERTIFICATE r Rp'o. R.c o. riot Rp'0.
IMMUNE woRK Ena f EXEMPTION
8 LNS D`K� m.oral, 1"'"*"w.a
SZb .A.sR NAA]Sst-G Y�f'S-SpN tLCPµ(jyrhp rel USEFEES COLLECTED
vwLu T F,I sou FCE ons wAT
a 1 ER SE Public s°Private 1:1
CODE
T LPNSingle S
I hereby certify that I have read acrd examined this application And have read the Nil,it F' provisions included
On revels,side.and know the sameo be tom and correct.All provisions of laws ri ndimances governing this Bulldlne `
t ire
type of work Will 0,complied with whether specified herein ci not.The granting sir .,n:rimi I does not presume
to give authority to violate ur cancel the provisions id any other state or local law iegiiiiilitic construction or the
performance of construction.SEE AR.EVVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION la,V- SIGNATURE im APPLICANT°A e O Yelech_ 13'
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME OAT[ Plan Quick
Env Haemo ,-
CEPA
[�
A 1a mersnsir Mobile Horns
Co.Enerneei Other(Specify)
li i,ier A
TOTAL SPlans Examiner
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