1981, 02-03 Permit: 80B-4272 Inspect INSPECTION RECORD
ADDRESS
DATE REQS
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—f,AIW MUMMER
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Bos-SP..,
NORTH ett JEFFERSON/SPOKANE, ON MOO/16wASHlNGr PARTMENT
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APPLICANT: COMPLETE NUMBERED SPACES—PRESS FIORD TO MAKE 3 COPIES
e ADDRESS 02• •5000
I. IFS. J� t-n LEGAL DESCRIPTION-SEE ATTACHED _ *500 0
LOT L IVISIO PARCEL NUMBERS
2 s I Re+b of ADD)Ti ON •50008 '
ERrv! inform
a 17:11PPC
L. MAN/ or.1 47ro'OA13 23544-.+SOS n •
000 01
AOORESS
c i5-5 IS TH 11Z1 I, Aita.lse.ikinFt C271�
a.i5-OR NOrI" 781 (BOOM .z]r •It'"' IWNI lsl
PHONE Sin of Parcel NUIIINIIen
12-01—'80 1
♦ AMR., :P I -Y SrNUaE FEv+IIa.V B 6479. i
rp¢i6 ilne r Cr.e Ae kia a.a•tl.
OlSIONEA P Building Arm In Sq.Ft.
6' ADDRESS HON .- 4eb20 -72
Zip Main Floor I Ups«Floors OO.z�ArN P Slang.
CHANGE OP USE FROM
ITOWea of Decks I F1nIRl
m B
wm.nl IUn11n.Basement
No a"• I +•rifles No.rams r..m o
^',.. ONEW G0ALT. W��N 0 RPL. 0 SIVE.
❑OTHERtqq m BD ❑PLEB,. ❑MECH. M.N. ❑POOR CERTIFICATE Raced. IR•ag"/1 0qU
el EXEMPTIONDESCRIER WORK
[. �,1Enum.ONt. ILONtIon(MNI i
VEr IMi c'-'?'AI2AGF FEES COLLICT[D
��EE-� SOURC! OWE I ELECTRIC I WATER SEWER own.u"Ip ) E coo.
SP�T,',j20 UTILITIFSI S T IC.Public 0 Private Ell
I hanky certify that I have iced and examined tins applIeanon and ieee read the"NO1 I, i S"pN d
silk,and know the seine to he'nue and c - .e, included
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�"reverse <U�c! All pl ovi,lm it of laws ung �., .es governing this yaL
type of work will be complied with whether specllled herein or o The wanting nl .,�cloes not presume Bu'MI"g TI",5Q"Q7
to CHB authority to,iterate or cancel the provlsim's of any other,tate o!local law ie!i uu orthe
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iuc[ion
Wrtmmance of constidction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
GATE t'.Hrv'.'nI1UN 'Y".. j eJpV-._ EIGNAtillll -'i I;ANI
SPUCIAL APPROVALS SPECIAL
I CONDITIONS!
Plan Chen(
NAME PATE aaCfooN6) WA.A,_rnXL /tS.,_ / r 11111Alid' /
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