1980, 05-08 Permit: 80-3783 Inspect p
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
`74%9 it D 'W p/t
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p 1.." ;OBER'_ APPLICATION/PERMIT R UMBER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT - ' MRl� •I ' •
NORTH 611 JEFFERSON/SPOKANE,WASHINGTON 99260/15091 0660675
DATE
APPLICANT: COMPLETE NUMBERED SPACES—PRESS IIARD TO MAKE 4 COPILS
ADDRESS
04• •200
t. 1/(QI�R I � LEGAL DESCRIPTION-SEE ATTACHED •700
t I L�T�—DN
1sl
2 PARCEL NUMBER'S.
•700.
OWNER
PHONE E •110C
3.ciaRF HICa/kiP,an-ort 1156-9842R.°.I.
3782X
P9.RFtc/47441 9a/.L a5.t6.'S'uthxt 1Wast 04-22-80
, RA-i HefrnAIC 9 A,/C. [��,,, / 6RaalPa.t.l oxGlaaRrlxl
ADOR��E�sss "fIP Oeey9ancy 3 6479.
0 9bNen 14F/LP 9207 yPecanrt. ❑..r oHOKloa.°.,, .
PHONE Valuation BulltlIng Area a.
s Ft.
• ' ADDRESS
etc OWL Arm I Area .rag.An 1I st°rx
CHANGE OF USE FROM ITO SPIII Entry I Spilt two I Rancher
a
NoB
aths N
o.Floors No.Rooms �R
e.Room
❑ALT. ❑AWN. RPL. ❑PAVE.OF ❑OTHER"`.,. ',co, ❑BLD. ❑RMB. �MecH: ❑M.H. ❑root CERTIFICATEasa. I Reea. r1 Rp
a
of EXEMPTION WORN •
a
',kVA./ e7I.I�K,LI.g�R HAAIP(�K T' /(7 WOkWFEES COLLECTED
goy'p I 5 I EL RIE I
WATER SEWER
a. uunrrr XX
f.
I hereby /' Single $
certlty 11121 I have read and examined this application and have Iuad the'Iv.; u.l..do,,
on reverse side,and know the me to he true and cumect.All Inrvis.nnr of laws a s gover n.rg flus Bulileg
type of work will be complied same
whetherspecifiedherein or lot.The granting of II m..,�.,..:.Ines nor pnsnme
o give authority to violate or cancel the provisions of any other state nr local law retailarn.n en nstruetinn nr the
performance of construction. Plumping
DATE SIGNATURE_
Mac.
•
SPECIAL APPROVALS SPECIAL CONDITIONS:
DER. REP, RECT..
[nr.HealthPlan Cheek
Manning SEPA
Fire Marshall Mobile Nana
o!Englnwr A e J
a Other ISpeeilyl
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