1980, 11-17 Permit: 80B-2073 Inspect T
INSPECTION RECORD
ADDF 'SS
DAA MARKS
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E- .ER
IL i- //W 1 eo/is/go APPLICATION/PERMIT EgMI;NUMBER' SPOKANE COUNTY BUILDING CODES DEPARTMENT I�i3”Z073 '
--r`-�— IN
tlt JEFFERSON/ti01(gry EWASHINGTON rvGTOry 99160/.9)E5636/5
1 - 4,'PLICANT. COMPLETE NUMRERI U I-PACKS—PHI Ss ILIIIU 10 MAKE 3 COPIES '
�..1.ADDRESS
�L♦2, Yera fa ll Ye LEGAL DESCRIPTION—SEE ATTACHED •28900
2 1—
I 2 II50 RI dgemont 2 Es totes PARC,NUMBER. •28900�E
OWNER RID Portiof 25541-9001 ,289.003E
3. ke Peplinskl Construction v on 928-6090 _ In Cs. III •Q00 8
P.O. Sox CONTRACTOR14410 Spokane. Wash. 99214 q,,�al�,�Pac6IWe zo' 1'!01
4. Same
PHONE ,a, 1,,,, z 1 0-09-8
00x271 as Single 0
ADOR f faR11 I
css 9
ZIP y 6479.
DESIGNER - 11%rr. I Sig flly MAMA.�d a�kl�rr.
6' goDREss vnonE 61,(00o 1300° a
CHANGE OF USE FROM TO
eIP M111000. Iuevr Emar. G.I'Rxa so„p. •
a A,ae60of o... I Plnl.r• umin.X,78c,
TV. 3HINEW ❑ALT. ❑AD'N. ❑PPL. ❑RIVE. No. r rvo.Stade. j(C om. Na,of Owerlln
' WORK O.LO. ❑PLM.. ❑MECH. ❑M.H. D POOL J OTH
ER — CERTIFICATE I P R'Gpn p.
I Roc e. rolV tav R,
DESCRIBE WORK of
EXEMPTION
9'SrNG//� F MKy R /p6rLGL- Inc l�i✓N FR Ellm.PM, Location(Areal FEES COLLECTED /
VALugT10N E oHs ELECTRrc w En SEW nIP
`JIS USE CODE 1
I,(000�.Iu`TIE: ✓ Dw,l�."uvrl..rad
I hereby c tilt'that I hapn read and ex.un ed Ilii. Srnple S
ON matte sde, and know the s c In he I 1 �I 'hh .I I.
NPPaof(wnrk II 111 rl w'tlr wlt'II ; I I I, II, 1 v oe ,i0I I III BUIINInp
In for anceo tY t 1' Ihu Nr 1 Cry itIII rillaI oe1 r or II e
performance of constructitm.SEE REVERSE SIDE ROI N!(1UI11EU IN SI'LCTIUN; Plumbing
DATE(II API.ICAIION-._October 9r 1980 /T'//1 J.
1 i . ,‘N W-+.11 °-r(1SL..n.. .. _ MecM1.
SPECIAL APPROVALS SPECIAL CONDITIONS:
ME
DATAAE Plen Check
�f -Y__
SEM
1,13 _. - — Mobile Home
.ErNlne;ir
Other lSpecilyl
trier
TOTAL g.Lq=t2:1
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