1980, 11-26 Permit: 80B-4213 Inspect INSPECTION RECORD
OWNER LOCATION
lilt CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
APPUGATION/P!fMIT
r. e SPOKANE COUNTY—BUILDING CODES DEPARTMENT Iy BOB.l�21�j' irk-l
NOR e11 JEFFERSON/SPOKANE,WAeNINOTOM NN0/MEI EWES) I I.
Tyt 1 APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
' NO ADORNS
1.-: ..p: Aft (O l]flY1I�'S',(' f2x2 LEGAL DESCRIPTION—SEEATTACHED 0h+ .1.0*. .
al.v PARCEL NUMBER/5 S 7,0
—
421.24
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',Mil a [' TI 11 25MOROI �� /7+ (OSt 64/:':t?y .4,
•CONT. • Y or ON Lone CMER!canon EP
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Ov« Ono ❑NWS.kkwnIRMPIMn IW4hPHON[ 'Valuation EuMine Are.nFt0000011 IIP Kiln Floor Orem Floors bare.Areaetcren ...14'teUNtleR feO
•
j Area of D«' nsemen.IDln4 0rjo
Pio.earn. No.Stories Noo o.of OwelnneerT:et 0 ALT. a w, ❑RPL0 Mvt. 0
I
11 WORK O scrag. Nino, 0 KN. 0 POOL atRTIPICATI Rpre. I Rae e. !Not Rebid.
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e �IreOrreII.11.f ‘71
loom,pl. ILeWbn 100.1Ins COLLECTED
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1 ELECTING I wAbe
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I hereby certify Mat I have read and examined this eppliaatlon and hay.rod the"NOTICE"provision;Included
an ravine side,and know the Sam*to G true end correct All provision.of laws and ordinances governing this
type o{,SlaeIe will M complied Abe,whether specified heroin or not.Tho granting of a permit doe.not presume 'Eliding
to give authority to violate or tomes!the provii one of any other state or local law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Numbing
DATE OF APPLICATION,5t �,
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Bw.. GNATURE OF Ave LIC..
,.M�S►1WU81/MS MCIAL CONDITION':
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