1980, 05-15 Permit; 80-4766 Inspect INSPECTION RECORD
LOCATION
ONTRACTOR TYPE OF WORK
$ S E W FINAL INSPECTION_
," KS
S
REMARK :
DATE
Ly
T
i.
num.. I
APPLICATION/PERMIT'
SPOKANE COUNTY BUILDING CODES DEPARTMENT
$
"� NORTH WI JEFFERSON/SPOKANE,WASHINGTON 50260/1!1091,66]6)6 ih J
"'II APPLICANT COMPLETE NUMBERED SPACES PRESS HARD TO MAKE 3 COPIES
JOS ADDRESS .,/�F�
1. wJ atC. g-iZ/ /a LEGAL DESCRIPTION—SEE ATTACHED r :d00 ik 4
'2 ' LUI a .EL num[[ti, •600 - s '
owH "•.1x., PHDNE PA A �;
ADDq ESS ZIP Actual N.,Poole.In Fen Q,r]_I Q_KO
• fONTRq Sorin Ibeath N IWHI 6u70. yr 0.14"..,,
RSM f y E�7?j Ja.of P,r�J JeM DNN1n.JIen , ''1
` 1/e...‘d.,,‘;
p(c'n o«uPana
.. 4ADD —.4'1.5.-
`nt '..4 192a7 Type CORP. I ,PrInKIwE6 •
DESIGNER `l PHONE v,mamn we. ono ❑RF6•a. N r:_
ESllalnil AM In So.FL f �.y
6• ADDRESS r1 $ p
ZIP M,In Fleet I UPPn Floors Ou,Sa qrM Storp.
J1lu T .'''
GRANDE OP USE FROM ITO Mw of OM I FInIMN Rent I
s 1 �nnn.Moment
TVR 0 NEW ❑ALT. I]AMR D HPL 0 PAVE. N0.Leihl I No,SIMIM N0.NOON, No.el Dwelllnei #
4}'R rRDRN O LLD. 0 PURE. ❑MECH. ❑M.H. ❑POOL ❑ornaR DERTIPICATE ( ;MEM. I Ra�6. �Je R 'N' kf=
g AIN LN, of EXEMPTION t Rada. 1t Y ;»'
E, _ Q�EPt/T. Mese.ow. Location IArMI
IEq COLLECTED d 'y ...
9 q. aMakiLOUIIC GAS ELECTRIC I WATER I SEWER pwmIM1J IAL CODE 3a
0. UTILITI[[I Public❑%InN OI
i I fnnhy certify that hMa Jead and slammed O PPI cat u 2110 1 Single
G the N I n'L•provisions included
I On fSVJfee I J1e,Jnd knDW the lanmb t4 hu 1 a .All I I _ r1 p veto-np ih f
EUIMIJp
fir •i
NPOilo.faw oriwtiylMulcOolamtplieuJdnwchltWhhee lnrur.0 clanOlher luw t onaeuma F
parformJneo of construction SEE REVERSE SIDE FOR REQUIRED INSPECTIONS 41.
y
y <1 DATE OF APPLICATION__2'g-iii—rd Qd -_,--1 „�� _ Tb_ P
�— _SiSIUNATIIRF O 111,01 U"^`r/s/j Jf i• aG1 Mesh.
g SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE // Men CheekY
'' 20 / .440
n ,nna 21 T PI P� SEPA
'I Mobile Herm J
Other ISPMINI
e Ulill el
PNrr r TOTAL
w - . • _„
I .O.ea,D/tom<<+ �: `" s-/3'-Qd WHEN MACHINE vAipI
rnrN l]PgCE.
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