1981, 01-05 Permit: 80B-5163 InspectDISPECTION RECORD
REMARKS
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MUMMER
7 i2/a3/Po APPLICATION/PERMIT
SPOKANE COUNmII , AtAinNG CODES 9EFARTMENT..
NORTH gnt frOVER50N 1 SPOKANE, ASH'NC TON 95260 / 16050.50-313[5
APPLICANT: COMPLETE NUMBERED SPACES - PRESS YARD TO MAKE 3 COPIES
qM �OPE55 deco
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LEGAL DESCRIPTION - SEE ATTACHED
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4. ADDRESS
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ADDRESS
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7. wo RR aJ SPum.D. 0 PL. 0 MECH. 0 MN
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VAA TIg SOURCE OAS ELECTRIC WATER - I
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EwER
1 hereby certify that I have read and examined this application and have read the "NO I In f „ ,visions included
OR Mane side, and know the same to be true and correct. Ali p w bionsof laws .0, l ces governing this
type of work will be complied with whether specified herein o, not. The granting ole inn does not presume
to give authority to violate or Cantel the provisions of any oche, state or local law rent. limq construction o, th,•
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS C
CHANGE OF USE FROM TO
Arca of D.0M
Finks.. se nt
Untln_ beeement
No.
Baths I NO. Skirl. I N°. Room. IN°. of Ow.nln.s
J Rao d. EoIRW'f
FEES COLLECTED
CERTIFICATE
at EXEMPTION
Emil, DAL
Location (A1MI
Pu.zr o Op,
wt.
USE CODE
GATE OF APPLICATION/2-22-QQ _ Si, NA IUHE 01. 1001 lCAN1)J�i T '
SPECIAL APPROVALS
NAM' DATE
SPECIAL
CONDITIONS:
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RQa wrueQ Jr a aue �d , 1,✓u eta .
14,44- 41--)- G oo ' .(,La -,,2,41- 4,21.4 1-Aei
Sins)
Building
Plumbing
PI Ch k
NEPA
Mobil H
Otnor ISpeololl
TOTAL S
91(3F"-°
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(020
12-23.-80
P 6479.
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