1981, 05-05 Permit: 81A-4336 Inspect�'f a
INSPECTION RECORD irw �
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
N.KRBR
AOORE6e
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH BI 1480084S074 f SPOKANE. WASNINUTON 883000 : (6681 456 3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS I -IABD TO MAKE 3 CUPIF s
2.
'�EDIVlABTJ��
OWNER
3. •Qlac�a LKTLMi
D
-7;177;f,,,4,
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBERM
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of C•p
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61177,
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ADDRESS
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CHANGE OF USE MOM
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No. Room.
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No. oe sYr411111..
VON
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SEWER
CERTIFICATE
of EXEMPTION
Roc,
Not RIM 0.
Enum. Dist. I Location 1 m
Own.
1•.01:1 (11•.17.14 O
M6n CODE
FEES COLLECFED
1 hereby edify that I have red and examined this Wplicalinn d1 P,nl
on reverse Side, we know the same to be 10.10 8110 00,1111. All 11 a.•1••t 1.'. .•^ . "' '
type of work will be complied with whonno specified l,0,4,O •x 1101 The 41.1111' '
to Siva authority to violate 01 cancel the pmvislom of env 0100, Sial'• 01 Im:.e 1.1:. • •"••' s1•
performance of ...ruction. SEE REVERSE SIDE FOR REOUIREU INSPECTION::
DATE 0; APPLIC1s1OV 5•��SS SIGNATOR': Of
tiECIAL APPROVALS SPECIAL CONDITIO N
NAME OATS IIh—.1Mdh-.:.. ` ►ewAik&o'si;
.fa•
RI11 W•
RN.
PFl.n. Ex." no,
S eN S
6wM:n
Plumbing
Peso.
Pun Check
{EPA
Mobile Han
0708* ISpooly1
TOTAL S,µ.•S6L_
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