1981, 01-12 Permit: 80B-3333 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
I -1 L -C (-2/4„t
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- IIIIIER
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•
RUMMER APPLICATION/PERMIT 2 RMIT A
OKANE COUNTY—BUILDING CODES DEPARTMENT ?/ akea-3RA 3'—
•
TH MI JEFFERSON/SPOKANE,WASHINGTON 00.0/ISOM MIS-3670
APPLICANT. COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
1.
fX74DRE "r
- - ATTACHED LEGAL DESCRIPTION SEE AT (114• •9.O a
. .-1 .-f"'""a +4 00-:.
PARCEL NUMBERS
GWN., •9,006
Al � L Z �/- [0 ! •000
a AD•'•
Ai-�SS �_ - _v42/G Actual Sat Book.n Mot .53322
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DESIGNER IlliiiiiiMiiiiiiiiSoloing 015 In Sg.Ft. 's I
ADDRESS l -"® Dow FIoo s OaraM Arm St«aM .h.
CHANGE OF USC PROM HMI waliMillailiall Finished Basement Unfln.Ea.amenl ,'F' "''
& yK E7� No.Bath. No.St«Im No.Roam. No.of[NMI...
ONaw ALT. ❑ADN ■ .❑M
7,.Tywo RH ❑PLC. ❑PLMe, ❑MUCH. E 0 POOL D OTHER CERTIFICATE �� of m a.
of EXEMPTION
OiX . N """anIArw)
& RI , .r•Milliliiiill FEES COLLECTED
A A OURCE INEB1 ELECTRICSEWER OwnMlP USE CODE
9. UTILLITIES �ENEec
Public El Private D &ngl E
I hereby certify that I have read and examined this applicati• and have read the"NOTICE"provisions included _
reverseon
side,and know the same to be true and correct • provisions of laws and ordinances governing Otis Sa1Mk6
type ofwork will be compiled with whether specified herein• not.The granting of a permit does not presume '''t
a
to give authority to violate or cancel the provisions of any oche tate or local law regulating construction or the .`
performaflce of conatfuotion,SEE REVERSE SIDE FOR REOUIR D INSPECTIONS Plumbing '''rt:'-`t•' '.
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4,---,90
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-. DATE OF APPLICATION B.7�� SIGNATURE OF APPLICANT �� ' '' Matll.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME
DATE ,T/, /��,(/�,����J` Pan Check
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aePA
iiiiiiiIIIMINI
Patine Horn.
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