1980, 02-06 Permit: 80-129 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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T _
P APPLICATION/PERMIT P.Rw""DM6ER
rR 4+to Xd- /
SPOKANE COUNTY-BUILDING CODES DEPARTMENT
NORTH.1 JEEpERBON/SPOKANE,WASHINGTON 99460/MOO/4669676 pA ---
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.w, APPLICANT: COMPLETE NUMSEREDSPACES—PRESS HARD To MAKE a COPIES
B ADO7R�Eu/ Ny�p,�� �� LEGAL DESCRIPTION-SEE ATTACHED t
l.j' iS S[De`iC a���L04' PARCEL NUM.ER/S .5.5—#/-9003
1 z I .i 6WIi i s ail" i_o7,14 /t34/C— 3
y OW ER PHONE— . M/.q/.c.O y,E /sT !�.
I 3.��°. '.15/1...../4211-44
�' ', ,- /J h �� ni wxr. Ba .n mt /
�•// /✓.4. 21 ./TALC L�1(L+Z 99�L Nerin32 our 8o all/7/ Iw..t/7 r
Mryr RACTOR PHONE S.el PaX Eo/Milt,
ONQr�lf mtlon
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0OryptESSType PD oa. Occupants , �ldLM1-.•/r.. A�10./LYKL'- zlP f28ff I ❑vet ❑sip ❑Rep,
DESIGNER PHONE y'Won/ , ,,eg Building 8/�rea in ga.pl
5. ADDRESS ZIP / Aaa� 'Basement Area Oarope Anel Shrew
f'192 fife/ . .2. /47/0
CHANGE OP USE PROM TO Spilt Entry I blit Lar.l Rancmr /YY�lla I
E'
N.Saint No.Ploor. No.Rpan. l R.c.Room
TVP. A NEW' 0 ALT. 0 AO'N. 0 RPI. ❑MVE. OTNBR I f
7. OP 0,11TIEIOATE Ka I 11.... �pl7w'..
WORM BLD' D PLIAS. G MICNI D M,N. O PDOL of EXEMPTION JC
eCRlelw AN
9673 COLLECTED
l �p',OLeu .amuap alG{/"^'1'( RIC WATER SEWER
O. G.SCJ OO'' nRN. I RP I whew E
' l hereby comfy Ghat I hive reed end e.emlned ml.epplIOMlon and hive cud the"NOI ILL"prOVlsion.included , '
ietmile and know the Mme l0 de true end cornet.All provisions al I.W.end vine ues pnvernmu lhi', swim,swim, 2.9:z
lvue vmk..,,n IH riemnlepd with whether waffled herein or nut.the�,EESSnntin9 Cl o p. it cpm nil ploupnu
to 11110,imob., e.,violate or fence)the provisions of end other Hetet al low redid.end..n.tructlnn nr the plumbinp
performance or construction. -
DAIS// /.1-_ (/ 7 61GNATU'3.A a .. Mech.
SPECIAL APPROVALS _ SPECIAL CONDITIONS: Peen Check
DEPT. '1 REG'D. RECD.
Env.Health///IY D.
11_ re
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SEPA annlrk. ((/�•(
Mobile None
Won MaNW
1Ns.Engineer Other ISpc.rol
\NORRaa TOTAL S
u2ouclr.anu tiE „I�,IL'T.i + WHEN MACHINE VALIDATED IN THIS SPACE'M E---
spew
BECOMES A PERMIT I.I I1—yE/
SGA CNckIIR ^.'r ^ef11.� -. eA6+
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