1980, 09-25 Permit P80B-449 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
TYPE OF WORK
N S. E W FINAL INSPECTION:
SET 43ACKS
DATE
q 42s
REMARKS:
cda - k/i
UCLA MUM.
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
rvoRTn BI JEF FEPSON / SFORANE. wASH'ROTOR 03260 1 1e00/ 450.3875
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
"' to ADoees
al, .. D50 / Crrt
LEGAL DESCRIPTION — SEE ATTACHED
a
PARCEL NVM6ER/5
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a A Y1�'LS psi
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IP .Nn.th
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CON R'Cd
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PHONE
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4.-
,
MR 7
Typo Conn. orc.P.ncy 5Nn.1. p
�e .
arat ❑ e Owe.,
ONE
q � ONE
„alnenon eIM Are In SC. PI.
5 AOORlie F IP
Owl Air 5awm.nt Atoo Oa(M A6M Stomp.
' CIO1NOt Cleo use PROM ITO
e
5GII1 Entry I SPIII Loral R,.cnor
l
Tv'RNo.
DYWsw 0 ALT 0 AWN. O RPL. vc.
Oath. I No. PION I No. ROomt I ROE. Room
J
Z oP 4t{ O OTHER
WORM 0 KO.. I,I/I:MY:` 0 MICHi 0 M.H.
CE0.TIFICAT! Rp'd. 0.ac'a. rot Rp'C.
of EXEMPTION
OIECR ��Iee�j '�t�.I i� _� FEES COLLECTED
a 1i ryL 1larlee
VALUA eourc. OA9 C2CTAIC wATlR SEWER
g. V111111w Slnela t
I hereby call, y that I have seed end .o.mined thn applicallon end have lead the "ND! ICE" plodsion. Included
laws and online... governing tills Building
.on reran adw, and know the Mine to be true and correet. All provnlulls of
Of work milli be complied with whether specified herein DI not. The granting of a pmmif does real probe, /3
lO gigs au tty to violate or cancel the provisions of any olhei st /cat law reg.Ila1 q conk'ioCUiln Or thole* req.Ilat q consrruCUiln or the Plu(Olnll SO
Perform. f tpomlruction.
Mech.
i 1
OAtL O SIGNATURE-
MBBGL VALB
BPBCIAL CONDITIONBI
beim ..:K.J k 5( Ot.'"5,'*, -
.IEIo.l.MRp-B ... ..y.44.14011.
a
. Bm.HMhh
BUPA
Mobile Moile
F
.MHYue
acE
Other (Specihl
C4
Engineer -
`
ale
�c SJ
TOTAL If�I�
•355
• 355
• 3-55 015
•Q9