1980, 08 Permit: 80-6869 InspectOWNER
CONTRACTOR
N S E W
INSPECTION RECORD
LOCATION
TYPE OF WORK
FINAL INSPECTION:
SET BACKS
DATE REMARKS:
PLA"" ""JaER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
--NORTH911 IDPPERSON / SPOKANE, WASHINGTON 99250 / JON) 458-3875
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
»e ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
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ADDRESS 21P 1-c ... I.
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No. yNRr No. a1PnN
IdNew EI ALT. 0 Ac N. 0 RPL. 0 M Z
No, Rooms No. o Dwa I nes
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SRR O .LD. ❑PLM). ❑ Pncc N. ❑ rn.H. ❑ PoIt
oL ❑ oincR CERTIFICATE
W ao of
.;
at EXEMPTION,
DeeCRI9E wDRR ER. -051. elan IAN.I
fEES COLLECTED
I
VALUATION yOURC[ OAS lLECTRIC WATER SEWER Own.rsRlp L88 COO[
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91591. j
I hereby Certify that I have read and e—ined this application end have read the "NOTICE" provisions included
verse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
02101-c"on
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Sulldlnp
to give authority to violate or cancel the provisions of any other state or local low regulating construction or the
performance of colntruction, SEE REVERSE SIDE FOR RECUR ED INSPECTIONS
Mumbing
DATE OF APPLICATION SIGNATURE OF APPLI CAN
Mack.
SPECIAL =VAL$
SPECIAL CONDITIONS: '
DATE
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it�ryTO 7//WNvIR/� fpARDVv1c eaN 60 1, OFI-oD[e /
Plan Check
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MAIN Hama
Other IEpaclfv)
DTII It ..
TOTAL f
PERMIT N ,9E 6� -
02- +21000
+21000 R
*210006
B -Goo a
631.5a
06-25"BO
609..
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