1980, 11-20 Permit: 79-7481 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSEW FINAL INSPECTION:
SET BACKS
DATE REMARKS: `
/414,1_ IZZ-J Ada d ArrAt-
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(PLAN NUMBER I APPLICATION/PERMIT /^'/ PER
NW/MR
NUM •
SPOKANE COUNTY—BUILDING CODES DEPARTMENT•_� I ' 7¢�/
4 NORTH 011 JEFFERSON/SPOKANE WASHINGTON 99200/1609146.2Bz6
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES DATE//'7-7r/ •
DRESS rW�� 04• •ZUO.i
.100 AD
1. (\aA S- .t...�._. LEGAL DESCRIPTION—SEE ATTACHED
2. L I BUIVISIUN PARCEL NUMBER'S •7.00 R
owrygl) •0008
', 000
3' ADDRESS ..-.._�, ZIP
n,dq�,.d SW B.y.. Frt
74804
PHONE
Norte
Isetn �w.H 11-08-79
A ._ Con.CNNBlatmn
4. n n M 6479.
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DESIg �_ 11iP v.wnw^one. oEaarmcv aPrinNlom
❑VW CNo 0PF19'd.
ONE
B' ADDS"!
Bunsen. .M n o,
III OWL Arm !Sewn l Aran Oarem Arm I Ilion..
CHANBE OP welt PITO
ROM
4• 110111[n. ( OM met 1 Renner
TVH ❑NBw ❑AFn ❑AD'N. ❑APL. ❑'Ave. No.Bath. I No..Floes l
7. OP ❑oTHaR no.ROOM. d.Renin
" WORN 0 ALO. 0 PCMB• 0 M.N. 0 M.M. ❑P00L CIIRTIPICATI nom. I nR.c d^a Not Rome.
OOCRIBE WORN of EXEMPTION 11
1` �!. E21. FM COLLECTED
B. vl1LUA ON y o c. oA[ I (LICTRIO
0. w tea I aawER
nl4nw
I hereby certify that I have read and examined this application and have read the"NOTICE" Slagle [
•
On reverie aide,and know the same To he true and correct.All Provisions included /�
type of work will he conmli0d mill whether provisions s Ia Jews and permit dos res the Building ./
to N'/' anrhOrlty,. wnlale or ran Ielons specified herein or not.The granting law re a permit dots not G///
performance of consoucom• cel the prwlNOns of any other state or local law regulating prawme
P ng comtruc9on or the
DATE LO r�•Z
Plumbing
Sn.NA1 URE
f Mach.
SPECIAL APPROVALS SPECIAL CONOITIONik
En..Health R[O.O. REVD. Plan Cheek
Punning
SEM
Flr.M.ren•n Mobile Hone
Co.Engineer
Other 18.N.
Zorn Clearance • TOTAL r7
S
WHEN MACHINE Cal IIS IL�I'"
THIS 9ECOMES A rFNM"
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