1980, 02-25 Permit: M80-953 InspectLLANrN_E__. I APPLICATION/p. NUMBER (7
SPOKANE COUNTY — BUILDING CODES DEPARTMENT �fi' 1Pc�0 ��3
NORTH 811 JEFFERSON / SPOKANE. WASHINGTON 99360 / 15091 456 -0875
APPLICANT• COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADORES
w � �, lit 41�N
T elolR
1An�i0A Q*. 1
ri
LEGAL DESCRIPTION — SEE ATTACHED
ADDRESS
�Ia
L NUMBER'S
1 8- zS -mss
4.
6.
AODRES
PHONE
'squired Set Bac
or Parcel Isouth ion. Cwsme•non
DESIGNER
ADOREM
ZIP
PHO
pis Sprinkler.
Valuation 81.1110109 Ou In SO. Ft Aga.
o.reee Are• I storage
SIMI Level Renel,.r
No. Baths No. Floors No. Rec. Ro R. Roon
CHANGE OF USE FRO
ZIP
TO
TvPE *NEW 0 ALT. .,G,('ADw. ❑ RPL. ❑ MVE.
7. O O SLD. 0 PLMS. p.p,1ECH: ❑ M.H. ❑ POOL ❑ O" "HER
WOgµ
DESCOIEE WORN
Split Entry
aaPrg. : I
uui
ELECTRIC
WATIS
DATE
C4•
•700
•700 G
952&
02 -07 -80
2
6479.
I Ileloby certify that I have read and examined this application and have reed the "NOTICE pl uws •ns Included
arse side, and know the same to be true and correct. All provisions of laws alto ullhiiances •venting Ihl
type of work will be Complied with whether specified herein or not, The granting of a 1.111111 hoes 01 pre
to give authority to violate or cancel the provisions of any other state or local law regul.I.Iig constru bon o
performance of construction. ( \�J
GATE SIUNATURE uvij�iy
DEPT.
SPECIAL APPROVALS
MOM RECD
Env. Hmit
Wenn lee
F. Marsha
Co. ERN
1µ11111.s
SPECIAL CONDITIONS:
Plumbing
Mach.
PIen Check
SEPA
Mobile Home
Other IEOecifyl
TOTAL S
1 WNFN M401.11NE VALIOA l n IN ■ rn -S 51AT t
OWNER
INSPECTION RECORD
CONTRACTOR
N S E
SET BACKS
LOCATION
TYPE OF WORK
W FINAL INSPECTION/ - -3 710
DATE
REMARKS:
c-g ec «. U E YkO -r- X1 7 I 4 01
/„7.;e/-7-/.7C 47 ,452)
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