1980, 07-21 Permit: 80-5699 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK ,
N S E W FINAL INSPECTION:
SET BACKS
DATE REMAR S:
/,80
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•
�'� APPLICATION/PERMIT # Ri
SPOKANE COUNTY—BUILDING CODES DEPARTMENT " • -e. - • 1.'
NORTH Ell JEFFERSON/RPOKANE,WASHiNOTON 55260/160510063516 ____
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES DATE r'
� 03• 'M Slay!
t. Lor ADDRESSSZJLw /2 1/IDC /� LEGAL DESCRIPTION-SEE ATTACHED i '"' •
cdt 6lL L S f1 PARCEL NUMEER/E 0 n
no1r/ - G
a ADda ' 9�/G/3j E Jl ..
zt 7lwuhw sa e.`�'aa Pmt PHONE
56984 ,4,
—to 3":C �.yL,Gerh, . 4...r 990/6 Norm Isaum at �weR P;„•y ,r,
co TOR- PHONE Sim OI Parcel - em Cbrl/lu1 On 0 6 M1.Ien
i1,' �� 2.119.124/0,
ZIP TTPa Conll. O F 4
�� a J/ pfrr OwAnev i0r nFlerie n N 1
ONSIGNOR
PHONE 1 Valuation Ilonal.Arm In So.Pt
E' ADDRl55 ZIP . OWL Arm illesement Mm Oaram Arm Sr
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PR
ftw.7 TO Split Entry I Split Mal Rancher
J ..
DM
TYPE No.Bales I No.MOON I No. RM
Rooms A Room y
), or NEW 0 ALT. 0 ADM. 0 RPL. 0 NM I/I
WORo 0 SLD. W MS. 0 MECH: 0 M.H. 0 POOL 1:1"" CERTIFICATE--•- Aw'd. Recd. N
C'. 1 rot Rw'd.
0550545E WORN �,L o/EXEMPTION 1 - 1 "e
R 9- [04.4 . ,E.DeaEL FEES COLLECTED �'
VALUATION noun. �O ELECTRIC WATER rt SEWER
UI iiOISS i'
a SiMa E ...._
I hinby u dfy that I have read and examined this application end have read the"NOTICE"provision.Jncluded. • 11,w/
on reverse ide,and know the same to be true and correct All provisions of laws and ordinances governing this Sulldin.
'type of work will be complied with whether specified herein or not.The granting of a permit does not presume yg(6
4O.give SU ority to ylotsee or cancel the provisions of any other state or�loc
allawreggulatinng�construction or the' _ y{1 _ inlh'
DATE 4. trpetlon. SIGNATURE�Tt"_ 7JlFWr^V ash Eng �S - r +i5'..
SPECIAL APPROVALS SPECIAL CONDITIONS: r ,I
EOM. REVD. Plan Chock
Mannish :EPA 1'....P;:.
Pim Marsha: Mobile Home
__ . — . -
EeNdeer
\ Other 18peFlryl ,:iiA?,::
'Wale '
�Js_ -c. ccJr.. +.
___J TOTAL Sin &�