1980, 10-03 Permit: 80B-1287 Inspect T _
..444447.44,
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSEW FINAL INSPECTION:
SET BACKS
DATE REMARKS: kli/r
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o�z� "r S OttAN COUFI�Y—AUIt*NC1 CDIjESUEPAfTMENT
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 90280/(609)166-98)6
APPLICANT COMPLETE NUMBERED SPACES PRI.55 HARD TO MAKE 3 COPIES
11 O• 570 r ct PAR LEGAL DESCRIPTION-SEE ATTACHED u z• •B 0 0 0
uMBER/3 +Bp00 F
2. S ' / ANA ecWVt= "loo. 7/e. &' •81'006
OWN.' PHONE
a ermo✓ woos 92//G768 = /7sUL-//0.S •C00 8
ADDRESSGeISet Feet
N. /0 s7u
aT 920 No..LS Beek.
Eastz570' (West
CONTRACTOR PHONE Sl I , CI.Rrl.nun 10-02L80
ABC' G <'p LS7AWC7lo/r/ 9zz27E./ 7Ps'x W/ .SinGF+
ce PvP/CV
RES3 ZIP TYPO Conn. OccdWnq SnnkNree 2 647,7.
/Goa 6. 4/7 r/r 94z.,t ❑v., Don ❑aaa•a.
DESIGNER PHONE IM1 a Ara In So.Ft.
346
ZIP 6• ADDRESS v'Mein
9,so0 FloorsI storaca
.
92,
CHAN09 OF USE FROM 1TO Area or Docks Finished Eaam•nt Unlln.Easement
TYPE NEW L7 ALT. E1 AD•N. 0 RPL ❑PAVE. Ne.Dab. No.SWIM Ne.RepineNo.of OwHlln..
7. OFF O OLD. PB. ❑MOCH. 0 M.N. 0 POOL OTHER
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CERTIFICATE Ra'e. Rau,. �lor •q'a.
W of EXEMPTION I Y
DESCRIBE WORN Enum.010, LPou0n t0,0) FEES COLLECTED
)47. 1710".) 779 ORe...5,06%.ce"
�yyV�ALUATION SOURCE GAS ELECTRICoweemio
R,' �D jETIES WATER SEWER Public 0Prlral•p USE CODE SIRED $
I hereby certify that I(ince 1001 and examined ill1.,urlp11e0hu„11111 11 Hall Ihnr 111clode0
on reverse side,and know the 3/11110 to be hue and col rest All u suns nl.�„1n> unices obverting this Building 0F&•0C •
ruvi 1 11
type of work will be complied with whether spocllied herein,n 11.,1.Ilie granting 01.,I1'IIn11 does not presume
to pale authority to violate or cancel the provisions of any other slnu'or local 1. Iu111i I:1I,I,e construction or rho
performance of construction.SEE REVERSE SIDE REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION • ,_Fi.4l.e_Sn:NA1111111,1 .1v1'LICANT Mech.
MOM.APPROVALS APPROVALS SPECIAL CONDITIONS:
NAME DATE G/CENSE OX (L• Plan Check •
Env.
✓e 41jL
_—_�$ SEM •
SE
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