1980, 06-10 Permit: 80-5559 Inspect INSPECTION RECORD
OWNER ,� . LOCATION
CONTRACTOR TYPE OF WORK
N S E A FINAL INSPECTION:
SET BACKS
DATE REMARKS:
IbC�
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ill
y APPLICATION/pERMf'f _ PERMIT N 1WER
Y�J ji SPOKANE COUNTY BUILDING cones DEP/1NTMENT M
Nonni air JEFFERSON f SPOKANE.wgENINDTON EESRa/1aa1 aEEaaTE IF
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES r' V NM;ADDRESS gDDRE53 JJ 7— p
(0 5O� G %d LEGAL DESCRIPTION—SEE ATTACHED 0 . •9,O
Z LOT ELtILW SUEUIVILIU PARCEL NUMRER/S - .:*•41.).4',4'
a owaeR /f rai' mdesme ��1
97nQ0�woomne ZIP a.s«emirs m Part E �!'
CONTRALTO ,r yPHON ,/-- Norte Nowt ISN IN GMWllunonst ne 5558M 1 p'+
E' CoNTstooeRAcTO� ,trii..e, �.1_TimLS 061i',1-1'''...Ifo M
[se '� �O� al ly TTm Conn °""""'
SP•Inkla)"
h J fPa07 oma.. ❑N. o R ii
ww..
MOW. ONE valuation @uINIng Arm In Sq.Ft.d.
.k0.F,WOODEn ZIP !Salo Floor I UPPOP Flout Owego Arm Nome
I
ilOVNEIE4PI.EE Phorn a TO Arm er Dna Plnlanw Nmani time.Garment r ''�`
TVP' O NCH ❑ALT. :.:DIN. ❑RPL. ❑MVS, Na.Oath. o.Stole. No.Rooms o.o •wonlnos
7, Ow y 0 OTHER 7T
WoRK U OLD. 0 Mime. /,LjAECH. 0 M.H. 0 POOL CERTIFICATE NW& Reed. rot e.g..'
sneer..wOpN /n� d�/�
elEXEMPTIONe.o1
dyer { al l ln. / ,4„1,3a.+.nn.Ohl. UPntmn form) EEE£COLLCT£O I T r
VAE.MITIPN OAS ELECTRICWATER SEWER USE CODE ,V ))�i,
B. u 1 c15. . POEt DPerivale o IG *V"r
I hereby certify that I have reed end eXemined thio application and have read the"NOTICE"pruvislona Included Slrple E }.
9Eon mane side,end know mu
e same to be true and correct All provisions of laws and ordinances governing this ra
type of work will toe complied with whether spec find here n r nut.The gran[ pa ne all a norm t donot pros Roltdl0,
to give arnhorlty to WOWS Or Cooper the bowmen; I a the) rata local lairs regular tg cnnrerueUon Or ane '
. paetornlpy.m am-emotion.SEE REVERSE SIDE FOR REQUIRED IHUPE NO eluableg
y� e'.fJll"'-' j d
PlDFY!OP APPLICATION_�(7��
SIGNATURE OF APPLICq Miall.
SPECIAL APPROVALS SPECIAL CONDITIONS:FOR CAS APP HORS 3?-8----.41a
NAME DATE
En..H..IIh Plan Cheek f
P i E SIZES
SIPA
q
TIN Perm. ey THS Mobile Nana ` �..1
.Va.enIMaw US �
eOlhw IEPmINI
111m
TOTAL E 9 i:.
man.E.amlmr vy
—'---- WHEN MACHINE PALM/AM;to THIS SPO,S -._.-,-�