1980, 10-09 Permit: 80B-645 Inspect T
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INSPECTION RECORD
OWNE' LOCAT ON
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
B CO DATE REMARKS: ` S � � ,
P
77
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PLAN NUMBER APPLICATION/PERMIT �D e
SPOKANE COUNTY—BUILDING CODES DEPARTMENT r PE D'6-6�
NORTH ID JEFFERSON i SPOKANE.WASHINGTON 1.9:00 f 1601.1 ace-as7e
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
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JOB AD R LEGAL DESCRIPTION—SEE ATTACHED 0`3* •
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*2001
I LG � j1�o PARCEL NUMBER'S .zaoo
Z
atwai
f.L C. *2000
a ADDR S ZIP NE Actual set BacksIn
F et LestS_i .000 Pi
/p si:nof,rclo
d•.1.^''', 73:2
to_ it
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,73103 :P.1nk1...a 61179,
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FF-1/{o Oval; One ❑Ree'.
DEMON. PHONE ValuatM. EPROM,Arm In So.Ft.
6. ADDRESS ZIP Melo Flow DEWS ERN. Deny.Arm Stomps le
CHANGE OP USE FROM ITO A.ee of Dom. mmI MINIM euanl I HAIM.Ruaanl
IL
TYPE QI� 1:1 ALT. 0 AO'N. ❑RPL. 0 MVE. No.Oe1ns Na.MOO. No.Rooms Na.Of OwNllms
J, OP ❑OTHER
WORE ❑PLD, 40rGmE, 0 mem 0 M.H. 0 POOL CERTIFICATE Rued. I Aped. r.,Keele.
om.00r. TION Il
' DESCRIER WORN en 10.11
& s6/�E 04:4,1t41.2.,—)
f ,L1E� Enu 1 Its IN FEES COLLECTED
VALUATION OF •!•`!ELECTRIC WATER SEWER snip USE CODE •
9. UTILITIES PLOW.0 P110.1*
Single S
I hereby certify that I have read and examined this application and Iteve teed the"NOTICU"111:01 lone Included
�'on reverie side,and know the UMW with to he true and collect,All 1101 lens of laws aid npll0amwe governing this Bullding .. •
type of work will be complied with whether epeeilietif110ml11 011101.lite planting of n 01111111[lues not pre
to give authority to violate or cancel the provisions of any 011111 01011 01 local law legulallng construction oruthe ''Q�
performance of construction.SEE REVERSE SIDE FOR REOUIRE0IINSPECTIONS t Plumbing E.�j(dl
D E OF APPLICATION -. /2.21/ _SI;NAI UHL Or APPL11;AN . ' Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS: a
NAME / Plan Cheek E .HealYn WITS / /
/ e"-i) I SEPA
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