1981, 02-03 Permit: 81A-1063 Inspect INSPECTION RECORD •
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OWNER LOCATION
CONTRACTOR TYPE OF WORK
N $ E W FINAL INSPECTION: I-( (S-J (47,6
SET BACKS
DATE REMARKS:
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ht"""°`" `'`''`� APPLICATION/PERMIT PERMB`HUMPER
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SPOKANE COUNTY—BUILDING CODES DEPARTMENT r,
NORTH 011 JEFFERSON I SPOKANE,WABnIN0TON 58300 l 10051 aea.30ia
a APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES s
r JOBASS
6.RE?70` IGj Tti LEGAL DESCRIPTION—SEE ATTACHED 03* *650p
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wr awl.n weurvulun peRCELNOMRERra •65006
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a OWN[R A *000 8
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AO RFs� ZIP Acwal S.la In FOP 10620
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m Twat 02-02-8.1
CONTR O 1 ONE Slia of P.real Zeno Classification
ooR1R� E04. Frl'`j l2 2 6479.
+ 131>E61 6 SNS ValuESS ation
Const. Occupancy SprinkHred
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.+°�' aN A mono (,, eulMlm Are M MID.Ft. ,-se..yeK�e+'3+is�jy#i11SppE{
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ADDRESS alp Main Floor I tipper mega Are ln SStorni.CHANGE OF USE FROM TO Are of Osa s Finished moment UIln.Hamm,'
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TYPE �W I-1 yLT. 0 AWN. 0 RPL. 0 MVE. No.Oaths No.Stories No.Rooms INo.at Dwelllnea
7, OF L'1J ❑OTHER l
WORN OLD. PLMB. 0 MECH. ❑M.H. 0 POOL CERTIFICATE R.'S, Race, rot Rp'd, ,,
of EXEMPTION .f
D[SIREA{WORN LJ171 JG �iX I J(�r'!S Cnum.Deal. LeUSian(Arse)a I,'LLON 1! I fees coeEecreo
VALUAT SOUR/CE GAS LECTRIC WATER SEWER USE CODE
B. UrILITlO Public Private 0 005I•
I hereby certify that I have read and examined this application and have read the"NOTICE"provisions included
on reverse aide,and know the same to be'true and correct All provisions of law,it ionic c.,--
Ies arn res this (....�l')
type of work will complied with whether inios specified heroin or not.The granting c i permit does not presume Buildup
to glum authority to violate or cancel the provisions of any other state or local law PaaIalma construction or the &,--,••
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performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO (/' Plumbing
DATE OF APPLICATION.1^ �/ SIGNATURE OF APPLI CAN #t V_ V/- Meeh.
SPECIAL APPROVAL SPECIAL CONDITIONS: _,trt-V'{;.�,
NAME OAT[ Gaes/� Plan Check
14+
Env.lleeYA. . neear a/* .
SOPA
Manning (, ,
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IN.... I 1 TJ6• Mobile Roma ;,
a`_o.Fusin., 2.. 1�J Other IEpacin)
Duthie, I l�
bPionsEemine, I Kz �N1K TOTAL E r
SEPA Cnedulst 1 MI1• Of• WHEN MACHINE VALIDATED IN THIS SPACE.
MISBECOMES A PERMIT.
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