1981, 05-01 Permit: 81A-4070 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK /�
NS E W FINAL INSPECTION: 5 5(( ���1 72(//
SET BACKS
DATE REMARKS: / T-
84,11
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IL1R NUmHER ---1 APPLICATION/PERMIT ^mT N„MeE
RI - qo�oG
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SPOKANE COUNTY—BUILDING CODES DEPARTMENT M 4
NORTH et1 JEFFERSON/SPOKANE.WASHINGTON OEM/1600)4663670
APPLICANT: COMPLETE 1JUMRERED SPACES—PRESS I IABD TO MAKE 3 COPIES •
oeAn Tyr
t. Y // LEGAL DESCRIPTION—SEE ATTACHED n a a •1 A I)0
2. PARCELNUMBER'S
•1400 r
OWNER PH E •1d.00S
274(24404.2611dv1,a 24-73 "
♦000 B
ADDITESS IP Pelee,S.1 gate,In Fae1 4
auN Rn20T �� m.ueOe-20
� ( -81
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,21Z-0.4... 0 4.sN 3''Pa ,......� =...�pwtr
o 4 ZIP Ty.*en., I ow.;..�,.r 6P,1. ., fi 61179.
"009)0000 9 OTOS ❑NOl0 ROWS
PHONE Valuauen •a q.y�„ ,
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6• AGEISM ZIP Male Floor �Ono.Floer• a...M A.0 I eR s.
T I
CMH.'..T OF,Mit FROM To /V.a Of 0eskt I pinitRra SlOment UntIe.Bauman
a 1
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MOS 0 ALT. 0 AWN. ❑CDL. 0 woe.
No.oat!. N0.Elwin No ROOma N0.01 Owe111nea
7, 0, O 00060
WORN OLD.
S• 1 ❑ ❑PLUM. Of MECN ❑M.N. ❑Poems VT
(EXEMPTION�
C• mem ono •
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F COLLLC
riD
,AL ATIO en.R OM ELE RIC WATER SEWER Eu n•utie USE COOS
0. lhat rlES 00110 c Innate 0
I hereby certify that I have read and esemnetl We application and haw.r.�ud the" ODI" munition Single
.m reverse MN,and know the same to be true and correct.All provlslnlls Al lows and nil u,i gttv61ntng this L •
type of work will be complied with whether specified herein or not. I he granting of 410.,•,.,t rlo.s not 00some a°IMlny
to give authority to vl01et6 or canoe)the provisions of any other state.n local law mold: utnittriIClmn of Ulu
performance of cenatructiun.SEE REVERSE SIDE FOR REOUIHED INSPECTIONS wun.bina
/,///e/�/s /S.an
DATE OF APPLICATION y _SIGNATURE OF APPLICANT J_.I '� ••�'4� Mecn. n
'ECTAL APPROVALS YECIAL CONDITIONS, ,
. eJME 6Aet'6Aet' Ran Cheek
lln .
.n...a SEPA •
Mobile Homo •
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fo f.Pln.., •
Othe•ISpxllyl /�/
•ulnt Era lne. TOTAL S ,rr �-
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