1981, 02-11 Permit: 80B-999 Inspect 1
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INSPECTION RECORD '
OWNER LOCATION
CONTRACTOR 'TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE RENA 5: Iz
/
/
�4.
T
PLAN
"UAP—VI ---'"-- 1 APPLICATION/PERMIT ---
I I SPOKANE COUNTY—BUILDING CODES DEPARTMENT �'_ -
nowrK eat JEFFERSON i SPOKANE,WASHINGTON ogxao 1,091,ao-para '`I�/�./
APPLICANT' COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES �•V
be ADDRESS +70 -
I. �c�,Irg( /Y'w / LEGAL DESCRIPTION-SEE ATTACHED 6
WT ALECK IL ELOVISION PARCEL NOMBER/S a 7'D ,
2 11
a70 B
OWNER • PHONE .000 8
lZPRYrC OYOR,Oecvr 9tS-44c5"
C./c Yo/ /4 772/a North ser Backs .a 150
u. l
°CONTRACTOR ONE A. of n.cl,.nnre
09-26-
80
° 61179.
.4. ADDRES` eiP Type Const oawnv k
.57YK Dv.s Own 0 Req..PHONE Valuation lama rr.Ins.F.
S' ADDRESS ZIP Num Finn, ...
. upper Floors anti.Area stones
FHANSS OP LAMPOON 1TD Are,of Decks Finish.anemone Unlin.Basement
TPPE CefNEW 0 ALT. 0 AD N. ❑RPL. ❑MVS. Na.Oath. I Ne,Morin Na,Room. {Ne.of Dwelling j
7. WORK ❑BLD. 0 Pima.OF
0 OTHER '..
L•J MECH. 0 M.H. 0 POOL CERTIFICATE Retia. Rae d rat Rated.
of EXEMPTION
4ESCRlEE WORK Enem''''' """n(Ar"'
��ppR,.�—rA'�� FEES COLLECTED
V 6 T31IFI DAS ELECTRIC WATER SEWER Owner.. USE CODE i
�I c OM..❑ SIntN $
I hereby certify that I have read and examined this application and have read the"NOTICE"movirlona included
On reverse aide,and know the fame to be true and correct All provisions of laws and nrd fiances governing this Buf ding
OM of work Will.be complied with whether specified herein or not.The granting of a permit does not presume -
t:euthorlty to violate or cancel the provisions of any other.tate or local law regulating c Ruction or the
of oonatructtioon.SEE REVERSESEASIDE FOR REQUIRED INSPECTIO�j$�� Plumbing
est
DATE OF APPLICATION 7— �]SP/ SIGNATURE OF APP., ��jC `� Meeh .00
OFICIAL APPROVALS SPECIAL CONDITIONS: („vim ate_"
NAME RATE Plan Chock \
v.NMlih
7 Mng SEPA
-I
1Mrshall Mobilo Ham. ' It
EMIMPer
O1Mr(Specify) ,i
•
r 1111.. '
„^ —.. TOTAL s .Cie) `.,::I