1980, 12-19 Permit: M80B-5103 InspectionNUMBER
APPLICATION /PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH ell JEFFERSON / SPOKANE, WASHINGTON 90300 / (500) 4!63075
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.1 Aie.1 ISION
KIM Awl'Rod
• —7,1,1 yr �Jo
—re 104 ALLtdrA
• AGGRESS
'9153
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS 0754.5-
IP
Actual Set Sacks 10000 «t
PHONE
Slw 78 is I4 el Purim
ast Iw•
ZIP
711Camt. I p_73.—
SPrldklerea
DV.. Ono 0
DESIGNER
AGGRESS
CHANGE OR U$E FROM
PHONE
Valuation 1Bulldlne Area In Sq. Ft
zip
ain Flaw
Upper Flown 1 Gereea Area
Star*.
TO
rea of 0050 1 FM
TVPE IENSW 0 ALT. 0 AAD.N. 0 RPL ❑ MVE.
7. W000 m ELo. ❑ PLUM. IMECM. 0 M.M. 0 POOL 0 OTME0
DE"irot9RKP oQ6. K i`{'r �Flr�f�lvr
B. V OIONlUTILITIIESI OAS I ELECTRIC 1 WATER Ibn'TIIC
No. Bat hs I No. Merlea
CERTIFICATE
of EXEMPTION
Me m. Dist. 11 I Loeanan (moo
11 rello USE CODE
Unfln. •••rle0
No. Rooms of Owelllnaa
Read. I R•c d. Tip d.
hereby certify that I have read and ex mined this application and have read the "NOTICE" provisions included
on vane side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting or a ouln,it does not presume
to give authority to violate or cancel th provisions of any other Nate or local law rennlal ulg nonstruction or the
Performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS �/� /��jn /,,.�
DATE OF APPLICATION .SRC /1. /990 SIGNATURE OF APPLICANT - v 1 4/4 "'
SPECIAL APPROVALS
NAME DATE
Enr. H6611h
Iv✓f K
It
SPECIAL CONDITIONS:
M /ft.( COI ` I( ro- 14410 Jr (Mlu. 6e0e7 8e19
FEES COLLECTED
Singl S
BYIMin9
D od
Plumbing
Mech.
Plan Check
SEPA
Mobile Ho •
Other iSpecifyl
TOTAL S I/'
!PERMIT
e -
M x�o 510
02• •1000
•100( I
51013
12 -19=80
6479
040 07.00
•70p 1
5 1 0 2 3 viva
12-190.80'
647.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE