1980, 07-21 Permit: 80-7100 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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7 --ergo ` " -`
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RUMOR APPLICATION/PERMIT PERMIT WORNSPOKANE COUNTY BUILDING CODES DEPARTMENT 80-7i oo 1
NORTH ell J•PPIRSON/aPORAN•,WAONINOTON aea00/ICOSLeae.a0)e •
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APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 02* "205 _
t�` ((/,7/ LEGAL DESCRIPTION-SEEATTACHED .205
��'1`7L^`V`N •'I/� u p PARCEL NUMBER/S.Z 7a•S1ja—aj ODg ",205•
2. 46
.,3 •.! t aeAcL4i 7.d.,LLMC Lel 4 .Q:./E 9
a EA; ''E...,, 922-o//3 J-1J RJ:Fr ACRES 7rs APD 7NCR PHONE C 99y "00
I. /2440'51 2 t-EJ f d'4. ,e J 992/4L Norm I et .c Isowe3 / 1,„,-,,/ 0
weat ,
RncroryIy PHONE slge of Parce zone cI•nmuupR 07-15•-8
ryaLutz..L[� H�3_34,,,,r7:0:7:::;.;
332.Z ' .,11,',.'"„;,:s" /
a � I
4' A oaos n ' �/ ZIP Ta.Cond.��Occupancy Over ❑io�O w.u� 6479.
'�/9 '.,Id-t.!7-Tu.1K,O11.L9.1-, 992/ 0 N Req'.. r ......
DESIONER PHONEIo ,r/i Bull/One A...•In Sq.Ft,
b. ADDRESS ZIP Man rico U �ra
ppa Floors Oer.M grew a\oepe
z8g
CHANGE OF USE PROM TO Area or Oeca Inlrlle0 B.vm.nt I Untie.Seamen(
S 'No.Stories Rooms INP.of Dwellings
❑NEW ❑ALT JR AWN. ❑RPL ❑M No.eels
"'• WORK ❑BLD. 0 pun. 0 MECH. 0 M.H. ❑POOL OTHER CERTIFICATE Rec 0. Plot ReC'0�
R.. of EXEMPTION A 11 X
a�Be IBE r�'R�N�' Art. (Location WOW FEES COLLECTED
IN*1e*1E�17o��ucCa1C i"eu PpscTEsCW En m
3 RC AS CTR I WA
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/.d O 1 ER :::::17,,,„,,,,.,.v
u011*D hl..l. use CODE Bind. l
I hereby certify that I have raid end examined this epplicatIon end have read the"NOTICE"provisions included
on reverie Fide end know the sante•to be true end correct.All rovulom of 1 �
p o laws and ordinances n this
'type of Work will be Complied with whether specified herein or not.The Bran NAB of a permit doe.not p7Fupla "'''""e 't.—.."
to glv.authority to violRte er genal ma previneni et any toner MN Or/steal law rapuulil iE eenotruetlon er the
gpiw•msf rmenoe f eonatruatlon.Els REVERIE BIDE POR REQUIRED INSPECTIONS PlumbinE •
+OI►',Iii`` /IPP.OATION 7—I&'8O x J
SIGNATURE OF APPLICANT S{µ „`D 4.4-
'011101AL APPROVALt riOIAL CONDITIONSI C'
E
NAMDATE Pim Clock IN
trio.Rum ,
Planning •
eEPA
,(,l
Firs Darman
Horn.
Le.Enaln..r • Other IEpMlryl
ewe. ,
TOTAL e4.0'°—
�,... �.
~OTEaM VOY WHEN MACHINE VALIDATED IN THIS SPACE,
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