1979, 11-28 Permit: 79-8260 InspectionFEES COLLECTED
Single 6
a
Building SO �'a
Plumbing
Meth.
Plan Check
SEPA
Mobile Home
Other 16q 101
TOTAL f,
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 98280 / I6091 *86.3818
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB A DDRESS
A
2. 4 3 ALOHA SCCONp ADprTIoN
OWNER
PHONE
3, AELL t:NE YIE6LrR 42.4 —70-F7
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
DATE
KRMIT U8NER
DESIGNER
6' ADDRESS
oamm Are. Slm•W
P[
7. OF El y }01208. w (7 ALT. 0 A'N. ❑ RPL. ❑ MVE. OTHER
wORK WIN-O. ❑ PLME. ❑ MECH. ❑ M.H. ❑ POOL
& 53001, utliul..
AT ER
CERTIFICATE
of EXEMPTION
I herrhv 081I,10 1081 I have read and examined this application and hove read the "NOTICE" provisions included
H1011150 side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will he complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate of cancel the provisions of any other state or local law regulating const uction or the
performance of construction.
DATE AiQtr: / 9, /777
SPECIAL APPROVALS
D[PT.
RECTO.
SIGNATU
SPECIAL CONDITIONS:
the. N »Ito
PlimnIng
Co. Engin*.
WORN.
1- I°I -80
NFL -r-K- 2.178g.
OATS o9Fi CIAL
WHEN MACHINE VALIDAT DIN THIS SPAC,
THIS BECOMES A PERMIT." —� 79
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W
SET BACKS
FINAL INSPECTION:
DATE
/.2,47/
REMARKS:
LL
t4 id./c� e "u'"Kly -Q
L