1980, 01-15 Permit 80-0135 Inspect•
J
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTN SIt .Ie PP ON / SPOKANE. WASNINGTON 10if0 / read eYfl.„
-.=.....=..,' APPLICANTS. COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
/OS ADORES[
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LEGAL DESCRIPTION — SEE ATTACHEB
I.
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2.
PARC LNOMfER3
075:4
1S IRRR�
!3
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_
OWNER
VAN Abed R.
PHONE
d Are
a MI/.N►rA-J
woRw
C /A(/hM1A ! parr -Al AlIGC
a.
R«exd Sat Mlr
Nam
�-
CONTRACTOR
PHONE
S. of owe. 1
s.se' x 38d5 -
a' ADDRESS
SIP
TrwCOO. ll CLR
V-N L-3 Oyq O. ❑ R...
o[SION[R
PHONE
Ion 011121 re Arm li:3a. P1.
°�o oR � AM
6. ADDRESS
irPnl
Ar 1 1100*
M.N... •
entry
C14AN0[ 01 us. PROM To
I
I 1 ■eneVwc
it
e
vPE OJJ// 0 AST. O 11D'N. 0 RIR- ❑ Mv[. ❑ OTN[R
7 1 EJ•e`D a NAM. O NECK 0 M.N. O POOL
wORR
N a.m. 1 No. r 1 Regan Bonn•
` I
CIRTIPICATI f
r R �.E/'
a IEIMPTION
o1GCAeU wok. MA04 IIIIIIIII,,,���ll! �r��A ��TT Tee[/ NfT `
• Ana' or A- '
WYMF4.
PII000LLICTEC
Innis •
l LWild"
w ( lc�,`,i1
RN. IL ' IIr F•A. e� I tYKTrAIq
9.'�S3D72- uenof
1 Iwobv cerl11 ,let I Kw. reed and . nanined Th. epplicetion and haw read the "NOTICE" provitipna included
Ies� Teem. .RN, psi .a knew the rnn. to be tea and correct. All provision. of I1MN Ind ordinances governing this
KvPe of work will be n,plied with whether ep.oifled herein 01 not. The granting or a permit does not presume
1FF oye 1Mthority tp yrdate or Cancel me ruts/wont of 1ny other state or local law r.gulsung construction of the
s.,Iornlance of construction.
SIGNATURE
1A1E
Sip;_
Wlyxe $�-
Plumbing
Plan CheckPE',MM..
MOWN 11eR1a
Other iMaIN1
" [s
ROM. YMOVAL/
RIC'D.
IFICIAL CONDITIOIMI
In.."Ne I g _ at-i4 Gla►eno
A.M.
P. Mar..
CA [c.a..
.1111ea
TOTAL /
Slags W _.
TE_i/—LT-79 o
H T.... se
TX IS 6ECDMESI . RM��q ra,
OWNER
INSPECTION RECORD
CONTRACTOR
N S E
LOCATION
SET BACKS
TYPE OF WORK
W FINAL INSPECTION:
DATE
gfr
REMARKS:
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