1980, 06-26 Permit: 80-6431 Inspect 41111
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
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DATE REMARKS: r `
14.1 171•11...
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_
a PLAN NUMBER _ - APPLICATION/PERMIT PERMIT NUMBER . G .
• ,„„„4„,
SPOKANE COUNTY—BUILDING CODES DEPARTMENT ,_____
NORTH et 1 JEFFERSON/SPOKANE,WASHINGTON 99260/16091.5&0616 ,.
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES 1
s
ADDRESS TN LEGAL DESCRIPTION-SEE ATTACHED 0 a. .7.00
t el.li�
LOT csL iueDlOfslDn PARCEL NUMBER/9 +7.00 K
2
owns" PHONE +7,O0d
y AY hr @DRr713,4f4 1_tOKn[.CT1nw/ 9a-2741a t B 6 .000 $
wDDRESS P. a Do Oar )33z'S .1 4Jsvr z4'E/3 e. I+ww«t
CONTRACTOR PHONE Slee of Parcel ne Classlllmtionsl 6(!]()4
f /BVARemN/S fi{GP7ne'�j 1 A/c gal-O900 et 06-27-80
4. woonlss ZIP Type cons,. Occupancy SennK lame° p 6679. _. B
.5. .M1sA-Ace-o Weer 0+.. SNe 0 Pt.a.
• DESIGNERNBS MPHONE V.luatlen Bullalne Area In Ss.Ft.
D' ADDRESS ZIP Main Floor Upper ricers Games Are. Storage -
MANSE OF USE FROM TO Are of Decks Finished BMem.nt Untie,Basement ;N•
TYR ....... N.Stories Dwellings0
ALT. ❑ 0 RFL 0 rovOr e ❑OTHER \l
T' woRN ❑BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL Reg,. I R.C'd. pm R.a'e. ' .
CERTIFICATE It
of EXEMPTION !
+glEMODRElwORR Enum.Oils option IArMI / m'Ygall
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raSOURCE
25 MU Ouollc s❑Pmvat.❑I Single 9 l
16areby certify that I have read and examined this application and have read the"NOTICE"provisions included
On reverse side,and know the same to be true and Correct.All provisl ens of laws and uldlnances governing this
Building
.y
type of work will be complied with whether specified herein or nor.The granting of a permit does not presume
to glue authority to violate or cancel the provisions of any other state Of local law reguletl ng construction or the .
eerformerl[s of construction,BEE REVERSE SIDE FOR REQUIRED INSPECTIONS numbing ( ,,'
'DAT!OF APPLICATION, Q
SIGNATURE OF APPLICANT _ M . •9-ao
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAM[ GATE Flee Check
Env.Health
SEPA
PlarobK,
• Firs Marshall Well.Nem.
Co.Enelnpr Other lIpselrvl
0111111es , rr*
Y
TOTAL E 7mer/
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4