1980, 06-10 Permit: 80-5497 Inspect 1
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS _
DATE REMARKS:
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1.
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NMN NUMBER APPLICATION/PIRMRPERMIT NUMBERSPOKANE COUNTY—BUILDING CODES DEPARTMENTIf-_=0,,s0.- -i9rt (49 .
NORTH 1111 JEFFERSON/SPOKANE,WASHINGTON MSSR/(ASMI 4011M15
APPLICANT! COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES 0 a, .7.00 °
JOE ADDRESS LEGAL DESCRIPTION—SEE ATTACHED .7.0 0 6
1' rlZo?I PARCELNlna[ER/It .7005
Z
OWNER [ E •000 d
1 SC.A,cRo CaJST. Co. h•—4.32g549.65
ADDRESS ZIP Actin,
K
Set S. In Poet 1
E.7r4 1JPRIUF�`]7R. .99016 Werth ISMrth R m 06-09-80
CONTRACTOR PHONE Elm of Parol ensOmPfltal111Iwon
AAP/ HERTIA/a 4 Abe/cai P. 44819-967f1 Y Is u 7 A
[ .I � ZIP Type Conti. OepiwaReimpose
n
• ODOltS.. OF Ie Oyes ONo O Rq'd.
PHONE VeiuMlen seeding Mee in so.Pt.
5. ADDRESS ZIP Main Place ;J;Jew. Moore Dew.Arm I Storage
CHASM OP UM PROM a ITO Area of D , Finished MOORS Lint!,% meef
a •
woe A NSW 0 ALT. 0 AOM. 0 RPL 0 MVE. 0 OTHER Nas ERN I No.EWES j Na.No.Mo �o.ar minimum
).
OF 0 SLD. 0 Fume. "(Macro. 0 M.H. 0 POOL CERTIFICATE Raced. RN d. lot Rood.
WORK of EXEMPTION
pSSCAm.,WORN enure.Obt. Location(Areal PEES COLLECTED •
ep LRCS I rE I ATER I lEWIR USE
I. ITIES xxRIC A.A.0nlva1e 0 RlngS I
I hereby certify that I have read and examined this application and hale read the JOTICE"provisions included
on reverse tide,and know the same to be true and correct.All provisions of laws end ordinances governing this E[Idlro
type of work will be complied with whether specified herein or not.The granting eft a permit goes ng`Somme
to give authority to violate or cancel the provisions of any other state or local law regulating construction Ge the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS PIWnMel
DATE OFAPPLICATION— SIGNATURE or APPLICANT MSS.
SACIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Cheek
Env.Hula
SEPA
Dtmelna
Mobilo Nam
ri.e MHshan
Co era..., Other lemeify1 '
e es TOTAL $ 7,00 a
PI.n,L..mn.. ,.a.IIIn,L1,N,R..Pa,r _ ._
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