1980, 08-22 Permit: 80-8978 Inspect INSPECTION REP
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OWNER
CONTRACTOR
SCI 6ACKS •
ATE
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NN . "`--'7 APPLICATION/PERMIT PERMIT r_...
f g/22/15b SPOKANECOUNTY BUILDING CODES DEPARTMENT Ro-6,9k3ith,(6,411. ,
NORTHH0.aII TEG GERRON/6POKANF.wASNINGTON REM l lapel 000g076
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES U2• •7.50 •
AE ADORERS TN LEGAL DESCRIPTION-SEE ATTACHED
.7.50
• -Eon Z2 f reION PARCEL NOMRERs 215,,/-Zara/ 6077.
OWNER PHONE 08-22-80
a A.D. 7)F/Tz5yc We-57c14
ADDRESS ZIP Actual Set Races In Fast 8 6479.
5.//9'8 grrr Noon Isom.4o .r S.' IweR
CONTRACTOR PRONE Sloe or Parcel Inarlon
♦ ADDRESS ZIP TTp.Cunt. O.00pepiy SlNnkl.r.d
❑v.. ❑ O 0 R.•d.
DESIGNER - PHONE Valuation-__ --- EulNln,a9A�las In Sy.Ft.
_OR_ Main__Piece Um Mono ZIP Uono OmnAs [term .
" CRANES OP USE PROM a
5. ITo Arse.1 Ow.a I PMIMod_..mont I URNn.°.Nment
?VPNo.E.MI Ne.Main Na.Room 0.MIbwR11n.l
NEW a ALT. O ALM. 0 RPL 0 MOE, -� I
7. OP ❑OTHER of EXE KATE Ro'd. Am d. fl1Pt R)p'd.
4. m caw. L`1LME. 0 mem0 M.N. 0 POOL .f EXEMPTION
RIR[WORE enum.O1.l. L00tl0n IA.ast FEES COLLECTED
e L T�N SOURCE OAS ELECTRIC If
WATER SEWER Dwn.Nhle USE CODS
_a trriErms $L P7K PuaG 00,101.CV Siesta i
I hereby Certify that I have read and examined this appllcaunll mill have lead the"11011,e"provisions included
On revs..aide,and know the same to be true and correct.All provisions of laws and oltnence.governing this E01Wtna 7 rd
L' Df work will b complied with whether specified herein or not The granting of a permit does not presume
rb'bM authority to violate or cancel the provolone of any other late of local law 1091:10? y uaotruedOn or rho
01RR11C1 01 Construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION R-aa-go SIGNATURE OF A!'P LIt;ANT(�fE///nn/// Moth. ...
SPECIAL APPROVALS SPECIAL CONDITIONS: Nm Cawk
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