1980, 10-20 Permit: 80B-2273 Inspect _ .
II
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•
r. ' ISLAM NUMBER I APPLICATION/PERMIT P PERMIT
MOOR X 73
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
M'3 NORTH 911 JEFFERSOR/SPOKANE,WASHINGTON EB300/10081060-6616
APPLICANT. COMPLETE NUMBERED SPACES—PRLSS HARD TO MAKE 3 COPIES 1,j+ .500
r I JOE ADDRESS S q�05 WE�p�j IX# LEGAL DESCRIPTION—SEE ATTACHED +500 K
• LOT I BLUCR ISUBDlvrsPARCEL NUMBER/5 .5008
z PHONE A +000 8
OWNER
3 ADDRESS •�K
ZIP .I•.iSOB t In OAK 227.23
� N IBDBm at Iw•rt
CONTRACTOR � size of 9.10. One 00 1719 uon
I 0-20-80 e
k Mil. en1 Sr 1.....^ kr 1G-1V 3 6479. .1','
woDREYType courocuwnc sPIo «q¢IP9p�d ❑va Oleo 0 .a'0.
p�y BDIotM Aro In SR.Ft
ABBMNIR (�T '"As—IBS Valuation F(lf...
- • P_NT—L. HIP fig M.In Floor I ODD«Floor. Swage Ar.. I Stoopc
wDDR 1f.1
r 1�1 O 9� a D1 Deck. I Finish.a Boomer I VOW,Bao'wt
EPSOM a�ucc Fl�ord� ITo Ar. J
4 ;0. No.a.m. I no.smn.. No Room. of Dwaine.
e: TYPE NEW ❑AWN. O RPL. ❑MVOE` ❑OTHER I wly'.
n 7. OF p MEM ❑M ❑ro CERTIFICATE I Rw'd. I R.c d. INDY Rw'd. ' �,./
wowR
A Ek.D M EDXEMRION ^ �,,:,
OMEORIREFFORN y�',I Nth- Env'. . ILoau.n'Anal Pas COLLECTED tt
& ANP. USE CODE
yyI VAl14FI�lON1:tote Dt OAS I aLeCTRIC I WATERI SEWER ID
V
IWF.�_PP Derivate Ol 61nel. $
ies
I hereby c.rtily that 1 have read end examined this application I d I d theNO l.F orovs u Is included
of laws dinances governing this Y g
on a ftwork er and know the came to et true and cohed All 1 Widina
f type of work will be violate
r with whether specified hewn< Th g a[ n 1 permit doer not presume 6;9'
to Mhe en(hority to vtolete or cancel tna provisions tel a ry QU 1 toe law legm hug aonetr Ion or the Plumbin5 5. 4 ? :
performance Of construction.BEE REVERSE SIDE FOR REQUIRED INSPECTION
IO—I S—t h,
';x DATE OF APPLICATION �. NnII n0-OF Avv I.AnI — 1
MINIMMFIeOVAIM enema.CONDITIONS! Flan Chwk ��MM�R��
OATH
... 1...$"$$.11.11M4.7 FF..
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS _
DATE REMARKS: