1982, 02-25 Permit: 80-7830 Inspect10-%k .0+
.0%. oolt
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
""s•E q f-po APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFF ERSDN/e WASHINGTON -0/16091 1-3a7e
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
I LOT • 1 .1— LEGAL DESCRIPTION — SEE ATTACHED
ARCELNUMSERA
2 /COT 28 YL W. 3o'.CaT 29
OWNER. PHONE
a M AV -0.
�p.DD zIP 7 orlltl sa S•ckt In FM
C RA<iOR PHONE St.. of P—N Z«W Ct.Wlidllon
q at— P T- ConK. Dceup•nd
oy« ON. klo lk q q.
.[SIGNER ONE u•llgn �G •ulMlne Ar« In Sq. Ft.
.
TYPO bid NEW ❑ ALT. o AD -N. D RPL D MVL
'• WORK o OLD. o RIM. D mucH. D M.N. D ROOL ❑ OTX•RCE
ql
ER
RMIQt,Ma7$�
02• •1000
-1000 K
•10006
E •000 8
7798
07-28.80 .
LE 647'9.
-1�:I+i1N/1k
_.._.... PEES COLLECTED
8. VAL A _ O OURCE OAS I ELECTIHIC I WATER I SEWER Own«MIO W! CODE
.iia /1e— UTluntl P ouc 0 D SINI• $ A
I hereby Certify that I have reed end ezemined this epph—OH and have read the "NOTIf(" luov' io f included ( ',
on Over"' side, and know the same to he hue and correct All provisions of laws and of H�nanc rl this �'
type o1 work Will fJe complied Wlth Whether specified herein u t The qr of a pannit d of prewme BulNlnp
to give eutho Hy to violate or cancel the provisions of any other state or al law regula �q cp s suction or the
perfatrtMllce of construction. SEEP REVERSE SIDE FOR REQUIRED IN ECTION R awalrp
DATE OF APPLICATION 7��Q — SIGNATURE OF APPLICANT Mats
lECIAL APPRIlIVAL111 MECIAL CONDITION.
NAME DATE I Plan LTMek
71, FIM
n u • Off— p SEPA m
/ iN
n9 n«r Other 1/Peeltyl ..d .
TOTAL $�
•"r a•m n.r WHEN MACHINF VALIDATFn IN THIS SPACE,