1981, 05-21 Permit: 81A-5000 InspectOWNER
INSPECTION RECORD
LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE
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REMARKS:
♦ Irlµ MANNER
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ADDRESS
11324- E..'3(sTK
CONTRACTOR
ADORES!
ROMA
E' ADORES -
cNANDE OR UK OROS
0 ALT. 0 ADT.. 0 RPL D WE.
— — APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
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APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
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IODAODRE8S1` ?�
FOC.( AsSW1V151
PHONE
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TYPE "�i1aw
7. Or, OBA
WORN
DESCRMEDVAN
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ANDRE
ZIP
PARCEL NUMBER'S
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norm 1somn
5Na or Oweal
Type Conn. I Ottulanty !izinNINN
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MON[
ZIP
0 OTHER
tlJM.N. PLB. ' 0' MECH. 0 M 0 POOL
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Main PION I Doper Plows 0 aaaaa AraeI SlN»a
Am* or D»IN I FInIMO »ma 1 I DEIN. Smomant
No. BEIM 1 No. (10120o. Rooms Iwo. o1 0100111090 c.R•e. 1 Race rot
CERTIFICATEII
at EXEMPTION
10000, 01.1. ILgollon (AWM/
I ELiRRIC I WATER I 5EW[R
Ownership 115E coos
VALWT lO D,C[ 6M R48)H Oa...1201
,0.• urlunl5
I Newby certify the. I haws reed end Dumped this application and awe load the "NOl ICI Inn,IHOnt ;111A1111,1.
on rw2 00 Alda. and know lM awns t0 to lura and CORCCI. All 002910,110000of law '. 1.1 rant 1101 9)0201'
0cl hank, or
to care authorltyltIn o violate 0l canal whetheri with D whom dol any othel etnle ole local li 0'011.11 .iI ",010umlor .n nen
9wlorm1100 of construction. BEE REVERSE SIDE FOR REOUIRED INSPE IONS ^' ^ ,�
OATS OF APPLICATION .- ._- SIONATUR1 OI (PPI ILA'11 . 1 ('�/LQt
IPECIAL APPROVALS SPECIAL CONDITIONS:
. NAME DATE • 3 301L0,$
e Ln0M1
FPI. M.
ant Examiner
0.0LV'S.
TtAE
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\ . 1C\TCM4N 61 NA
1 N=o 0900'.
Ratak. DRAIN.
_0•w0 PIPE
FEES COLLECTED
PI
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8EPA
MOBN. Isom.
Omer Memoir)
TOTAL S 6O.0,c.
WHEN InnsHSNI Vat. MIA TlO lrl ,PACu
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