1980, 01-02 Permit: 80A-9711 Inspect INSPECTION RECORD
''1' iER LOCATION
"sk-
oilTitACTOR TYPE OF WORK
S E W FINAL INSPECTION:
'SET RACKS
E REMARKS:
Cft �. 99p.#t4 og 7 4054_
(.1 -t.—`0 :, +rc" C ; — -
A E s
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PLAN NUMBER APPLICATION/PERMIT — nm,: �""n
SPOKANE COUNTY—BUILDING CODES DEPARTMENT G ie 1 97i/ }:
..,,- NORTH 811 JEFFERSON/SPOKANE.WASHINGTON 99200/15091 460.207S DATE `
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APPLICANT: COMPLETE NUMBERED SPACES PRESS HARD TO MAKE 4 COPIES
JOB 1. X10
'1 LEGAL DESCRIPTION—SEE ATTACHED
DRESS 04•' .1200 k
LOT AO BLOC KSUB IV/ISifO p PARCEL NUMBER'S
2. ADD "� L ?u Resulted .I .I .12005
OWNER °rpr�6- E •aoo 8
3' R s F
971.0m
E 'D ��1�/"n I Pn sl.:or Parcel 0"tn Ezone Cla«mmllon' 01-02-80
.� as•.mSL
4. AODREs a�n ! rvo.court. o.aean.r swMal«w q 6479.
CL ` /rik�7 Dvas ONP ❑Rea.S.
DESIGNER / \ Valuation BulMMa Area In So.Ft.
6' ADDRESS ���••P DWL Area Ba.ol.l Area Gala.Area Slava.
CHANGE OF USE FROM TO Spill Entf2 Spill Leval lavisher
VPE D NEVI D ALT. •AD'N. D�❑MVE. No.Barna No.ninore NRP.Rooms I «.Room
7• OWORN ❑BLD. El puma. IQ M�/ECH: ❑ POOL ❑OTHER CERTIFICATE Raoo RocId. Plot Res,
of EXEMPTION
& ESCR BE WO H ��
/� , 4�/O got*11 FEES COLLECTED ,
• DALUATION ut Y t I h,OAS ;CTRIC TER ,r SEWER f •
InSingle B
I hereby certify that 1 have read and examined this application and have read the"NOTICE"provisions included
reverseon side,end know the same to be true and correct.All provisions of laws and ordinances governing this Building
type ofwork will be complied with whether specified herein or not.The granting of a per it does not presume
to give authority to violate or cancel the provisions of any other state or al law regal g construction or the Plumbing _
perform/erica of onsstt'/�J(�.tio9. L gyp,,/�,, �E
DATE Ls C( / BIGNATURE � Mzlr, O rill p�A' te ,
DEPT. // R/pEC1AL APPflOVALS SPECIAL CONDITIONS:
n.o o. REVD. Plan Check I
Env.Healta
SEPA
Planning
Fire Mannan
WWII Hama •_A,,.
m!. •
Co.Ennn.r Other ISp.ltnl . '
11uwa TOTAL f/24° _ ' • �'
Fn;
Zone.Clm
ance
r WHEN MACHINE VALIDATED IN THIS SPACE.
XPA it THIS BECOMES A PERMIT. lr]
I _811 l o �,
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