1980, 05-02 Permit M80-3901 Inspectr„,., NUMBER
APPLICATION/PERMIToDES DEPARTMENT
SPOKANE COUNTY s OKANE, WASHiNCTON 99260 r 1E091 •. 'R'E
NO
APPLICANT. COMPLETE NUMBERED SPACES — PRESS HA HD TO MAKE 4 COI'I 'ATTACHED
,OR ADDRESS LEGAL DESCRIPTION —
/
llii
SEE
11 '
' ailli."1.1;"111/11
OWNER
NE
ADDRESS . . WilliiimiHIM
, S
1
CONTRACTOR . • . ' I M
4' ADDRESS r ❑VEe 0rve 'a �Rep.
1111.111
CKANDaOR USE PROM . ®�FR•c Roam
E01110016ADDRESS
7. MR S. MEN: D M.N. COL ®®liffi�®ES COLLETYPETri
❑ NEW ❑ ALT. aAO'N. ❑ REL. ❑ MVE. ❑ ONER
®® S.nale • ,
OESCRIE
8
ORK
vALLIA
ON
o ry NOIV that 1 have redo `I '• rJ thls "aRV1“. iDAll p 1 .
NAP. .In 1 know the tNee r , '
N ueof wr•rk williva eN1t1131 tr r
to SmitholrtV In Mill. o ,,••1 Ilr. l.111V,lre..r .
IR1101Tanfe nl �rrrrslnrv. 11.
UAIE
SPECIAL AY►El1MALS
REO'O P
WINNE
FIFE Marv.
SPECIAL CONDITIONS
au,Iorng
Plpmb.TS
eek.
Olen Chit
SEPA
MotEle Home
Pe.Emif
01Mr 1SNc11 1
•
111
TOTAL S 9 00
-• Ed.a: •
ll
DATE A/
•400
•4.00
.900E
'000
T 0004
p4_2a-80
g 6u79.
OWNER
INSPECTION RECORD
CONTRACTOR
LOCATION
TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE
R MARKS: