1980, 07-17 Permit: 80-7135 Inspectiona
AODRE
• i..Q. .
APPLI: ;ATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811,6E F ERSON SPOT ANF, WASHINGTON 99260, 16091.66 -0676
PPLICANT COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION - SEE ATTACHED
r E t .
,WrjratiMM ._
C TRACTOR 11.1.1kiii1PM Slza� lingliMPRONOMPI
u.IeR
ADDRESS
C.M.NOE OF USE FRO
r VPE Al NEW ❑ ALT. ❑ AO
RR ❑ BEM. 0 PLME. ❑ MECH.
EsCBIBE wo9A
VALDATIO��N�� OURCE OAS ELECTRIC
r.3AOCAO 11 TIES x
I hereby certify that 1 have read and examined this applies have read the "NOTICE" provisions included
on reverse sire, and know the same to be true and correct. isions of laws and nldinances governing this
type of work will be complied with whether specified herein or The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FO REOLIIREDSEE REVERSE SIDE INSPECTI
DATE OF APPLICATION 7 -9 —Q4 SIONATUR€ OF APP
POOL
TER
OTHER
SEWER
49r76
F oo
M
J PP rloy.
iza6 7s
AMIN. Amain
Arw
Area of O.PN. 1 FinIMa Foment I Uniln. .ayNnt
/23L B
No. SAM I No. Stories No. Room. 1.0. of Dw.11lna
RTIFICATE I R.od. RW'a. of Reed.
of EXEMPTION
Enom. DIN. I Loaflon (AM)
Ownersnlo USE CODE
PMaIIP 0 novae. Ai
EMCIAL APPROVALS
NAME DATE
15,000,00511
Co. FwInoor
NECIAL CONDITIONBI
FEES COLLECTED
Engl• E
Or
Bending 2P'Y �4
Numbing
Moab.
PIM Ch.0*
BBPA
Mobile Home
Other 10peelfvl
TOTAL s28R.
IPEgnT 7 /.SS
(:2• 028200
•28200
•282008
.000
7134:
07 -15 -80
447
INSPECTION RECORD
OWNER
CONTRACTOR
LOCATION
N S E. W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
/ go
REMARKS:
Act,
PPP
3 -/71/