1980, 12-16 Permit: 80B-4890 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET BACKS
DATE
TYPE OF WORK
FINAL INSPECTION:
REMARKS:
NUMe.•
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH EI I JEFFERSON / SPOKANE. WASHINGTON 99700 / ISW/ 4660676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
• 0000.0S
l01 1 •LOCI61VIfI�N �a//Pi /.0.9
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUM000,S
3. e Jt (?4 sp4QA TT(1.
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4tH//7a
rNorth e.t ..a 110010
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DEaIonER
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❑.a. Oho o n.e•a.
PHONE
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ZIP
M.In Floor
001101,1 oarere Are.
Stamm
CHANGE OF USE FROM
6
10D
Area of DPchl
flnlmw e.Nment
Uniln. •ee.ment
TT'.$New
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won's n.
❑ ALT. p 00 . ❑ RIL ❑ MVE. 0 OTH[R
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❑ num. ECM. 0 M.H. ❑ pool.
No. Mtn. I No..10111 No. Rooms re. of DxNlln g.
RAN. Rad. rofRp'i.
CERTIFICATE
of EXE.IT10N
g.
SOURCE OAS r er! SEVIER
UTILITIES
*num. Dbl. "ecatIen (0.111
Ownership
0.10110 ❑ Private 0
W[ cool
PEES COLLECTED
hereby arlity that 1 have reed End examined this pplic.lron and have read the "NOTICE" provisions included
on wine side, and know the tame to be True .(Sd correct. All plovulons of laws and chtinances governing this
Noe el work will bm aanplled with whether unrifled herein nr not. The granting of . oernut doss not or*wma
o give authority to viol.. or Cancel the provisions of any other state Or localg )01111g construction UI me
performance of construction. SEE REVERSE SIDE FO REQUIRED INSPECTI Sre
DATE Of APPLICATION .. . _— SIGNATURE of APPLICAN
MGM AFMOVAL• VSCIAL CONOITIO/MI
NAM[ DATE
.1122111.1119.111M—r—.."--
„ARE n. •
004
RNr
81nq $
Building
Plumbing
Plan 0415
SIPA
Mobile Herm
Omer UMOIN'
TOTAL $