1980, 01-11 Permit: G80A-9866 Inspectv INSPECTION RECORD �.
6NER LOCATION
CONTRACTOR f1 YPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE /p REMARKS:
///Y?1p Com' c T2 S f o /f S
-ZO-
`j mA"rvOMaEn APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
101T.811—1-01 I SP11ArvE,IAsr.NGTGN S-S rlaoslasa"S DATE
,. APPLICANT COMPLETE NUMBERED ,SPACES —PRESS HARD TO MAKE 4 COPIES C4. .1200
�I
1
11"
All
R —7y LEGAL DESCRIPTION - SEE ATTACHED *1200
owoNE PARCELNUMIIERA +1200
2 E +000
3. Wr/3 a 9E65s
* '{ ADDRESS .1P «rrY.. .In F«t 01-07-80
7.-IP«c« on. cr,«m..r�o�" 4 6479
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PHONE
ADDRESS P •DILA,.. e..« AA,« R o,a.An I st.l... —
CHANGE Wo��f��NEw ❑ ALT13 �s FROM Som E.111 SHA L«.r R.n.n.,
8 VRE . �?o 13I ❑ —E. THE No. 6.1n. rvo. Floor: e. Room. .c. Reom
T
•i� 7 wF 13 BLD. ❑ RLMe. 9i ECH: �H. ❑ POOL 01 o CERTIFICATE
ORR R .tR
o1E%EMPTION w
DESCRIeE WORK FEES COLLECTED
° � & VALUATION E E Tq C^u--/ WATER SEwSIR
L 8. Sinal. S
I h rehy c rtifv that I have react and a neU thy. apphcaoon and huv¢ I¢utl tha "NV
c esitle. arnl Ynn.� I n he it r Hurt r:i ne[r. All prrwrimns rel I�rw�; rayUvm rung t1r: Builtlina
type ofr work will h¢ c ,p1 ell sw .,h,th,,11sp¢Ohed he,mn o . The gra �i,l Aces n t .....
Mc to give authority to iolalE o, cancl¢I the provisions Of any other state nr local law n'grllat �g r nst , thr
_ performa`c¢—constNClion, nn Plumbing
I' Qa �AJa
,I DATE SIGNATUR M h. mer_
SPECIAL APPROVALS SPECIAL CONDITIONS:
w-; DEPT.
REO'D. PI.. Ch—
Fnv. HrRn I' SEPA
Pr.nM.9R.II /dvm /�7u Mob l.lome
,c cR. Erwin«, ah« ISprcify)
shurtl.. TOTAL E ... 4
Zon. Cl4r,nc.
WHEN MACHINE VALIDATED IN THIS SPACF.
THIS BECOMES A PFRMIT.
f S.— Dn.fYIIR - 7+ �'f t
DATE OFFICIALiF�l .(a 0'1-07-80 98664 12:0'0:84