1980, 12-04 Permit: 80B-4229 Inspect INSPECTION RECORD
OWNER ay„ I LOCATION
CONTRACTOR TYPE OF WORK _r �J �� J
N S E W FINAL INSPECTION: fr! 'ti�D �ii,2
SET BACKS
DATE REMARKS:
01"-* P6(.572W
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riNLOPEER APPLICATION/PERMIT v/IP(RMIT NUMBERu
SPOKANE COUNTY—BUILDING CODES DEPARTMENT /LOa- 229
NORTH 8111EFFS RSON/SPOKANE,WASHINGTON 883130/MOW 46 081a
APPLICANT. COMPLETE NUMBERED SPACES PRESS HARD TO MAKE 3 COPIES
ss
1 LUC T D LEGAL DESCRIPTION-SEE ATTACHED
S IV SIO PARCEL NUMBER/S
U228P
PHONE
``// 1 1-25-8o
a 76 '.7i� .tie., 534-20% `•
EI r �Q -b r•k id, �� p� p ADM set e.cx.m Fen S 6 479.
C TRACTOR .�I ,4<,,[! 99;LpG Nesten 1.0, n lw.R
ONE SR.el Parcel Sone Classification
♦ u 4,4msf
po— '�-An.....,e, S Q 9Rt-3.280 Type Cons. Occupancy spnnxmrw
OAFS/
D60Noa7fa_P4 d,vten.0
ZIP
❑... Orae ❑Rwe
PHONE I V Il
aua on Building Area In Sp.FI.
6' wponess ZIP
Min moor Upper FloorS Clams Area Storage
CHANGE OP USE FROM TO Area Of Decks Finished Basement Unlln.Basement
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W -g D ALT. D AWN. DRP D m Reg,.Ne.MIL. No.Mori. No.Booms a.of Owelllns.
T• o B OL. VE. OTHER
0 PULE. jig MECH. 0 M.H. D POOLCERTIFICATEMc ryot MOM.
of EXEMPTION I �.
a SSCRIM W0 li � Enum,Ols1. Location(Anse)
�(J4 ' FEES COLLECTED
VALUATION SOURCE 011! ELECTRIC !EWER Ownership USE CODE `.
a UTILTIEa WATER Public❑Priv.H O
Single j al`/(_J
1 hereby certify that I have read end examined this application and have road the••NOTIt'I ovlsione included
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on reverse tide,end know the same to be trite and consent.All pianisions of laws end alis es governing this
type of work will be complied with whether specified herein of mitrho granting of a 111110-does not presume ...n.
to give authority to violate or cancel the pr0vislons 01 any other slain,n local law r gunning wintruction of the
Performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION Plumenp
DATE OF APPLICATION/J-.2L-AD SIGNATURE OI APPLICANT L I�et-t1 lE Mach. •
7
SPECIAL APPROVALS SPECIAL CONDITIONS: IT )
R-uRMRIryAM.( ATl
NYr�raK ^A�IaA/.A.14,- *LAZA�K��.ifAR •' P, +..Pl.n
PI/1,101M
SEM
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Marshall Zia' }, f-`r�-- k(6¢�� Mobu.Home .
B.lMloasr • � Other(Specter!
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n Examiner62-
TOTAL e • j
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