1981, 12-21 Permit: 81B-2585 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
2 _ /-7.:
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11
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APPLICATION/PERMIT
771 6. --)._•5- -- ' i
tots/Rif Nuswen
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
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NPR,.0/1 J CCCCC SON if SPOKANE,W•SNINGTON POMO,I 15001•00-34/0
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i. '''....." APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
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JOB ADIZSS
LEGAL DESCRIPTION-SEE ATTACHED C A• •170c •
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LOT '',:-OL 4`rigiZtb,.., t.)-\--.4 PARCEL NUMBER'S •
2.
258 ft tT '
OwNER MORE
i PL./,,/ -.1 "2.,..t2rier .z.. ..c.•-• .1.4-.-2,
I 5-C9-8 I
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ADDRESS ZIP /WIWI Sal BaCk.In F..
I•.• .' 6579 •
CONTRACTOR PHONE ..,,, lOno Classification
ADDRESS ZIP Tee...... OFFFIDFST SorinlOwfra
Dun fleas 0 awe.
.•.0s sVir-
Of SiGNER PHONE .-vaiomion Builifino At.in Se.ri.
5' ADDRESS 5iP main'tow V.I...Plows °Ram Arca I SlOtaW
GNAW.OF USE FROM TO Araa Of Docks Finish.flawnwni UM,Bawn111.1
6.
No.asIns I No.Stwin il I
No.Rooms No.of OreDIWos ,
RR. 0 NVE
• 0 OthEn
wo,,, 0 BUJ. 0 KIRA. NECK 0 R.N. 0 PooL CERTIFICATE Roo.. VW.. ro,
of EXEMPTION
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DESCRIBE wORIS
Enum.Clisl. Location lAlM1
FEES COLLECTED
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cxrc.r. c‘a.c-Ps....ac
vALUATION souRcE OAS ELECTRIC 'RATER SEWER 0,,,,,Rio USE CODE
9. UTIPrTIES PorilIc 0 Private a
$.. ..___..
I hereby certify not I have read and examined this application and have read the"NOTICE—provisions included
on reverse side,and know the sante to be true and correct All provisions of laws and ordinances governing this
NO*of work will Pe complied with whether specified herein or not.The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of COnTtruCtion.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS how... ........
4 hot.
DATE OF APPLICATION •ls C.#.1,5-1 SIGNATURE OF APPLICANT JGXiii.wyCi/CRis•lo.ER,___ .....
SPECIAL APPROVALS SPECIAL CONDITIONS:
NANE DATE
Pim Owl,
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OtRot ISpeciNI-- f
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• TOTAL S 11,0.11
INNEN MACHINE VALIDATED IN THIS SPACE, K ,
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SERA C.R.w..
THIS BECOMES A PERMIT.
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