1980, 05-05 Permit: 80-3856 Inspect R
• ---- PERMIT NUMBER T w
EN I APPLICATION/PERMIT At 'go-
SPOKANE COUNTY— •
BUILDING CODES DEPARTMENT-36•5DATE / O.,i p
NORTH 811 JEFFERSON/ 4
APPLICANT'. COMPLETE NUMBERED SPACES-PRESS 115130 TO MAKE 4 COPIES
R .°00 -
171e14. 5. 1_00.d J
LEGAL DESCRIPTIO'.–SEE ATTACHED .c0 00
PARCEL NUMBER'S - - a c I:C o
5 385g�
Pllr i • -_a_ D4-� i' iiii mn.cN.ml�a,. 04-23-80
ZIP s 6479.
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anonE
1 p,'l�_ v✓f�1DLtTi }�c z �S-�SZ,S E IM cowl.
Occupancy I
L G PHONE Valuation
OR
V
I DWL Ar„ Bar.m.nl Are, Oara
fAl N ZIP
ESE Spilt'_,v.1
1 TO EMIR Entry
OE OF UE[FROM No.Bat0, No.Floor, Na.Room, R.c.Room I 1
N0 NEW 0 ALT. •N. 0 RPL. 0 MOE. OTHER oERTIFICATE bil� I
. ,e. 0 BLD. 0 PLMB. 'MECH: 0 M.H. 0 POOL ,EXEMPTION
FEES COLLECTED
RISE WOR'
•
CATION' GAS tn'tla, KIM AT0. SEWED
-
Sinple [
• I,Iv Oiel 111uW:4,41 am!v'r...... T 1111:.,., Builalnp
F 11 1 1 I 10, •11, Ilk..., •,, Plumbing '`
I
.7,,,..1‘
u, IV ns I 1 .I,
•
'W9 1 Ir E.'1-Rf.. WLI l,.J l+Ll✓ M.S. .,—T_
14. 11 n40 A CY`
pEDIAL REQ.°. DUAL[ SPECIAL C•N•TIONS: Plan Check
REO'O. REC O.
SOPA
Mobile Home
MaNnall Other 150601101
6
.1(.1..)
TOTAL $.----
_ _-,
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSEW FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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