1980, 07-29 Permit: 80-7094 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
ME ADO/IEEE
APPLICATION/PERMIT
SPOKANE COUNTY - BVILDING CODES DEPARTMENT
V
NORTH Ht JIF/[BION / SPOKANE, WASHINGTON NDIO / NOM NFSSIS
APPLICANT. COMPLETE NUMBERED SPACES - PRESS IIARD TO MAKE 3 COPIES
urn- AVel
(4vant.)
[RMIT NURSER
G, yy
dEOAL DESCRIPTION - SEE ATTACHED
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CONTRI
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ADDRN TSC.L
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DESIGNER
E ADDRESS
CMA000 OF USE FRO
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TO
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PHONE
5-4.1 -
ZIP
4Q1s11
PHONE
Zip
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00111 INWR
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04 •1400
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70931
07-15-80
1 6479.
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Untie.
OPRP NEW 0 ALT. �0 ADW. 0 RPL 0 MVl. 0
WOK 0 OLD. 0 FUME. .y MECH. 0 M.N. 0 POOL
No. Stale.
CERTIFICATE
of EXEMPTION
DESCRIER WORN (kil.ps`�E''e ,j� \�dE Enum. OHL Loaf Nn[Are)
tiliplla
SOURCESIL cel µ ...MR,
WATZR\ SEWER IPublic 0Prwal. D Ott CODE
I hereby certify that 1 have read and examined this application and nava lead the "NOTICE" provisions included
reverseon aide, and know the •.me to be true and correct. All provisions $1 lawn end ordinances governing this
type of work will to complied with whether specified herein or not. ma granting of a permit dose not presume
to glee authority to violate or cancel the provisions of any Other 07010 or 10001 law regulating construction of ITN
performance of construction. SEE REVERSE SIDE FOR REOUIR ED INSPECTIONS
DATE OF APPLICATION
OFICIAL APPROVALS
NAME DATE
Nw RNPH Ire. of Dvnlll nag
Res.. I Ree. rot Rp'd.
SIONATURE OF APPLICANT
SPECIAL CONDITIONS,
nni
1770 M0 1471
(� �+ I" ha"
T'lP! �7I28-S
I
PIPE a ao or
3'
PEId COLLECTED
*Ingle S
Building
Plumbing
Ren Cheok
UFA
Mobile Home
Other IMa1N1
TOTAL 1.1.4.4,:e.