1980, 10-06 Permit: P80B-1302 InspectionAPPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 63280 / 1809) 460.3878
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
t Arnaeas (/1j7�6 /'y/ J
• LOT � ELOLA IsUBDIVISIOef - - 1 rT uo
Z OWNER
3
ADDRE36
CONTR pTO7, A //
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
ZIP
-1 -.7.2 7A? S� ra�gai r
OEa,9NER
Par
r
ADPT, Vex, /5jD9
CHANGE OF UME FROM TO
6.
ctua Sal Back „t
lequtn
North m Parcel
one cl•uruIWast on
rvw covet I ogd*P•ncv
Valuation
Sprinkle.
Oyes Ono O 0990.
Bulldloe Ar.• In So.
Mai
nor
Area
Area of D.
TYPE u4vEW 0 ALT. ❑ AD.N. 0 RPL. 0 MVE.
OF RN Fnr OLD. O gp�
WOLMB. ❑ MECH. ❑ M.H. 0 POOL ❑ 01066
No. Baths
Basement
Unfin, ...meet
No. etorlee
CERTIFICATE J
/M
of EXEMPTION
DESCRIBE WORK
0. VAL A IOU�RTCIE E SI GA/9 / ELEC TXNI TC WATER
SEWER OR,14,7111P . Enum. Dl Iloutlo n (Ar3
)
Poona ❑PH.. DI WE CODs
1 hereby certify that I have lead and examined This applicetioi' .I'll laud the' nil OCT" plovislOOS iluluded
n reverse fide, and know the lame to be true and correct. All inovninne o) laws ails ordlnanc0I governing this
type of work will be complied with whether epecitlnd herein of not. The granting of o pn111111 does not presume
to give euthollty to violate or cancel the provle1011e 01 000 mini slate d' local law Ion - tong conelructIon or the
performance of construction. SEE ,R/EVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION 945//.40 SIENA MORE 0 nPPLICANT_
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Ong
No. Room.
No. of Dwelling.
Reg
d. R.g d. riot a•q'd.
FEES COLLECTED
Si a1 E
OMEN
Numbing (74:2.4r47)
Mech.
Plan Check
SEPA
Mobile Homo
Other ISPec'fyl
ten,
PERM! Pa/C3 ui3a 2
u'• .3050
.3050 2
•30506
•000 0
13019
10 -02 -80
9 6479.
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:/
74",e-7Lf,t7/