1980, 12-05 Permit G80B-4500 InspectINSPECTION RECORD
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS•
NUMBED
ICATION/PERMIT
L
I SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 99260 / 16081 460.3676
APPLICANT: COMPLETE NUMBERED SPACES — PRE `.'i.t HD TO MAKE 3 COPIES
ADDRREEESS
4 Joe ADDRESS
"1D 56 C,(M I W�
LEGAL DESCRIPTION — SEE ATTACHED
LOT6LVI�eUB01`/1610N
7-
PARCEL NUMBER/5
OWNER
a W-C 13 kk CHAR
PHONE
4ar-cs49
ADO
4 / /vi % s s / A /V
ZIP
ACIUH Sel BackI. In Put
Norllo !SOLO Last Ilwe.
7
CONTRACTOR
!'. D H L= AT//v G !: O
PHONE
=pa'Y—Y91.5
B 1 1 Parcel
na Classification
a S 1 T fi E N 7-
.21, A
Type Conn. OUGuPanev
SPHnkhred
Dyer 0Na 0 Rea'e.
DESIGNER
NE
Valuation
BulleIM Arse In Sq. Ft.
a ADDRESS
ZIP
Main FI00r I °PPer Floors Arm Storms.
C11A/M OP LEM FROM ITD
a
Arse or Dams FInwwo Easement I Unlln. Basement
TVF[ MI,NEW 0 ALT. 0 AD% 0 RPL. 0 WE. O
NG Betas I N0. storm No. Rooms No. o1 Owalllnoe
Its
OP OTHER
', WORK ❑ BLD. CI1LMB. 9/GECH. 0 M.N. 0 POOL
CERTIFICATE mad. I Ra a. IYet Read.
of EXEMPTION
D�j}}CRIBE WORN �/
-t is. !r O U
a , A.I.-i CCo SPY 6+-rO ,
[num. 0194 LOMKOn IAIMI
FEES COLLECTED
GAL I N SOURCE OAS ELECTRIC WATER SEWER
ALOAtIO TRIO
9. UTILITI[S
Owamsaas US[ CODE
hallo OPrima O
g1 gi $
I hereby certify that I have read and examined Ulu almkcau,ni .Ind have read the "NOTII'E" l ens included
ll
on reverse Side, end know the fame to be lle a1: I' 1s11 1. All :11VISIOTS of laws al . el...mintgoverning this
BUl lamp
typo of work will be complied with whether speedier] herein 1. �.I. The granting LH I does not presume
to glee authority to violate Or cancel the provisions 111 any other •'late in Inca' law Inllllaluol I: nnirucllon or rho
PI bl
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS _
/�.3�V '' 4C±t
Mwh. ��
DATE OF APPLICATION
SPECIAL APPROVALS
tiIUNATIURE In APPLICANT" ...&
SPECIAL CONDITIONS:
`
PI Ch k
NAME DATE
•'
Env. Nrnn
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(
BEPA
nn�n0s..
il4
e
Mobilo Noma
II Fl.a a. a
,
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'IT
eP. a^e.n.n
oth Isp
.a 0
�I Ty NyUMBER
00• e9.0
•90
•90
•000
u GGO9.S
12-05-60
6479.
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