1980, 07-24 Permit: P80-7420 InspectSet ADDRESS
1.
LUT I BLULR
OWNER
ADDRESS
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99250 / (609) 468 -3875
APPLICANT : COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/5
corers. C /' II
4. 0 0 (i BefPif e
h•R /xZ21 Sprewt, cab
avemerrsen-r.
PV. bvely
CHANGE OF U E FRCS
IP
TO
R
Norm mree Set ea »t
Isom
Type Conn. I Occupancy SFrinaleree
Oyes 0No 0 Rag
Valuation Building Area In Sp. Ft.
DwL Ara
Spill Entry
Ieasarnent Ara Clarets Area I Storepe
Split Leval i Rancher
ryPe 6LNEW 0 ALT. 0 qow. 0 RPL. 0 MVE.
wogK ❑ OLD. Iipp __'' 0 OTHER
�LMB. ❑ MECH. ❑ M.H. ❑ POOL
DESCRIBE WORK A.1(
O 11LYG /�
VALUATION OAS ELECTRIC
8' U1111 W
CERTIFICATE
of EXEMPTION
WATER
5 E
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse 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 g of a permit does not presume
to give authority In violate or cancel the provisions of any other state o w
performanc off /constru n ragulj(i icon uchon or the
DATE /./ /6( SIGNATUIIL
SPECIAL APPROVALS
olIP REGO. RECD.
E nv. HMllh
PlannIn9
P lre Marshall
Co. Engineer
no Claire t•
SPECIAL ate. I TIDN4
EoNDMW�
DATE
030 •180 Cf -
•1800 6
•18008
E •-0'O0 E
741.98 _
07- 21 -80.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS: %� / % �/
7 a � „/ / y �2S�� G7� /17 ,
,..6,4?), 74-