1980, 03-12 Permit: 80-1980 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
UNSER
APPLICATION/PERMIT
_IMMUNE COUNTY — BUILDING CODES DEPARTMENT
NORM EII JEPPERSON / SPOKANE. WASHINGTON 63360 / 1600)4663676
--- -- APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOS ADDRESS
6.°
°6121,D.o1 io
LEGAL DESCRIPTION - SEE ATTACHED
5,
OwN�Eo. P r
-f`
u et.f�
372 - c 1
CONTRA
I rL IY9Y�I
Ae. IN* cop,pTh1AS T SIG
DESIGNER
--5590
PARCEL MEER/S ��7�
1��3TIokl 5H POs �14 Vfi�Gl,
sPJ 1,1 of °WF W tz-r oo. K/W
�s06
Irea Set Ba In Feel
�5galh I=o
NE
535- Lb3 G
eFx � 3
Type Cono
W.R 50
L..IIIUHIge
YzIG
❑ye. 0740 0 A.q'0.
PHONE
ACIDNESS
PIP
o
•I n oQv
OWL Arl• OI.ement An.
GOe•
6untione Arm In So. FI.
9e pre. 1 670739.
ROM TO
RIR inti
PIR Leve
E*, 44TV" 00/NEW C ALT. O X1'4. 0 RPL. 0 MVS.
VR.
..- 361.0. 0 PLME. 0 MECH. 0 M.M. 0 POOL
0 OTHER
No. FIowl
No. Room.
Roo. ROOT
CERTIFICATE
I EXEMPTION
ec'6. Plot ROA R.
A6 4-1 ELEC IIC
SEWER
wATER
UATION So.,o. a ER
L
8. 5 000 __. wiuN, 60M1,1
I hereby certify that I have read and examined this application and have lead the "NO Inovls.ons included
reverseon side, and know the . be true and correct All provisions o1 lewz .� �.ncn es governing Mk
typeofs I
work will be c nioJw.l ...th whelhel ,pecdied n ein
not_ The grantlnq. �I
mos not Pr or the
10 give authority l0 violate o pence, Ihr I� r v.nnla of .Inyu then state or other
Ideal law •rn. I svucirnn o the
performance of 609540400007/
DAtE Q./RP/PO SIGNAIUHE
J -C
DEPT
SPECIAL APPROVALS
R.O.D. RECD.
ROI
AO
. Mars
Co. Engineer
IS PPM.
Iona Cleparancs
SPECIAL CONDITIONS:
cat( UC pI-IY1-D.-34°T4E
piss'/o. /id)
Pl rtes "-r-rA<tktv
1.4w, -re �orJT1E p 04/
44...4k7-6
9,t
_ 24A0
FEES COLLECTED
Single
Building
Plamblpg
Mech.
Pl.n Check
SETA
Mobile Home
Other (Specify/
p�,�
TOTAL
DATE
PER I LIMBER
02• •174..0-
.1 70,0.0. 6
•174.008
E
*Q00-8
16563
02-2B-80
A 6479.
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