1980, 12-12 Permit: 80B-4830 InspectE=CN RECORD
ADDRESS
DATE
YLI 4-22
=L7` 0
31 -Q)
3-q7-1 V
prm,PR.q
c
f
ENT
NORTH 811 JEFFERSON / SPOKANE, WASH I NUTON 88180 / 18081 eS6uM7e
APPLICANT: COMPLETE NUMBERED SPACES -- PRESS HARD TO MAKE 3 COPIES
Jo' DDR... LEGAL DESCRIPTION—SEE ATTACHED 2+ •38200
—� ARCELNU1�SERry Do/
_ •38200
/6S
2 R waNE v,r-or/ •382005
a 91 -.24W, WYArr Anpiryoy -obo e
eEE SIC- 3 Zlml u 71 1117 »t S ' Im. 2J r 4 8 a U R
CO RACTOR —NE51o1 F / ZOM .NIfIM on
2�-BO
zip wcourt. owvspFr 6479
R'3 OvM Off. k10 R•e.
' RtW DOIDN[R PHONE
R ADDREp 2I1
am.tnon'
leo w Flow. O.r.e. A"? atoreee _
/uo
NAND[ OR we FROM TO Is. .cky n 3J0n In.r— n
I
o.Etwluof Dw•IunFeIN NEW O ALT. ❑ AD•N. ❑RPL O MVE. / 6/tayWORKit BLD. ❑ PLk18. ❑ MECH. ❑ M.H. ❑ FOOL 11 CERTIFICATE p e.01 EXEMPTION FEES COLLECTEDlOURC[ 0 ELECTRIC WATER wryn,p USE CODEILTIEE t ❑ PllYal. d( &n81e E
I hereby Certify that I have read and examined th,s apphcabon and have read the 'N011I:F" Irl'v ',ns ,ncluded 00
on ra
veru side, and know the same to be true and correct. All p,ov,s,ons of law. an<I c,II�,Iancxs govermnq this Evlldip 3AZg
type of Work will be complied with whether specified hennn ur ,n 1 he granNnq of does not presume
to plve auMorlty to violate or Cancel Ilse prov ls,om of any Other irate or local law ,xgul,,,..„ ,.r„strut[ion or [he
performance of co I—Ilon. SEE REVERSE SIDE FOR REQUIRED INSPECTION ,, 11 FlumbinE
DATE OF APPLICATION let —V'S740 SIGNATURE U, APPLICANT . _ _ se—
SPECIAL APPRISIVALE RECIAL CONDITION[I or
IMM[ DATE Nen Chack v.. jT•..
&A R.1e4T /A iE2.j' J!AC4 .MJrN SLAC WA a
Ale[lle Menai
Other IEIIMIf0 ...'.y .1
a
TOTAL ' ur