1980, 06-04 Permit G80-5360 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK��,,
N S E W FINAL INSPECTION: g /;-D� / ,4 / /(7 /'
SET RACKS
REMARKS:
_ 547/477,"
N a^. /9aRfF'7.Y/
RC[ pA!
UTILITIES ,C yC X
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5Z5-9£
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3 6479,
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Stt JEFFERSON / SPOKANE, WASHINGTON NAM / ISOPI .86o6r5
- APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1. 71? is,ittre't.' ° "
oerrlE T PHONE
a /o[G4..xoa _. _ 7%7�E-,r a .0.-..,
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OR nn
AD ESS
Cr) S.Q — L gf- i—..• 4
DESIGNER
ZIP
ONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUM{ER/S
Mimi 5M Mem In PM
ISaate
Su. of Pral
1[aN IWM
Tom CRN111eallon
E1943-06
PHONE
Type Genet
Vauellon
ocouosna
SP.InMNa
OV.. ONo ❑ Rn'd.
SMARM Moo M SR. Ft.
ADDRESS
[IP
Min Meer
AN. Floors
CNANG{OP USE PROM
7
TYPE
WORK OAK
❑ NEW 0 ALT. 0 AO'N. 0 APL 0 MVE.
O FILO. 0 PLM{. @ MtCN. 0 M.N. 0 POOL
0 OTHER
Area o1 Mews
Atm Sion.
Plnl6M nl 5a..nl ( JAM. Emmet
No. Sant 1 No.11ot. I No. Rooms INo. a O.nllnw
J Rea'd. Read. �O Rp'd.
CERTIPICATI
of IX/MOTION
OESC
VA
I hereby artily that I have read " nn rU Ih i. a$Rll,canlr„ ., n.,. And the "NO, I r SmrN InCluden
on reverie ti M. Dirt knort the cep"', I1`•I1' roue ',,I I:r creel "' . a nl laws and . el governing In,l
IYhu of work will lea c n1oull w11h Whttnr:,r NMl,l,e11 herein nr n�,� ., ,h.unlnR I,1 .r ' 11•1n+5 nOt Dr6Nrnle
to give authority to WOlatn .n nonce; the lIOv,a,nnt n1 ,Ilry urn, i .I�r• I„1 �'K I I ,•rltruchnn n1 thr
prforminea of .one.NSlel' ", SEE REVERSE SIDE FOH REOUIRED INSPECTIO�I�
DATE Of APPLICATION -.
{PECIAL APPROVALS SPSCIAL CONDITIONS:
NAME DATE
ELECTRIC 1 *ATE
SEWER
[num. Dist.
ownormlo
Leasuon (Areal
Puell. OPrivate D
4SE CODE
FEES COLLECrOO
S nSN $
Sv11{I5I
Plumbing
Plan Cneek
SEPA
Mons H
Other ISP.c,Ivl
TOTAL S