1980, 07-17 Permit: P80-7236 InspectAN DUMBER
2.
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Bit JEFFERSON / SPOKANE. WASHINGTON 99260 / 1600/ 4663875
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
DATE
03•
OWNER
PHONE
ZIP
Required Set Bar In Pmt
IS04. eR IWNt
Sai el Parcel Zone ClNdiimtlon
coNTRASTP
TYPO Co 5!
Occupan.
vamaoon
Sprinklerea
Ove% ONO 0 neq'd.
Buntline Area In So. Ft.
72352
07 -11 -e0
•3450"'
•3050`syh
•3050,
•000
DWL Area
i{% . r .
CHAN•E OF USE R•M
TYPE
e.
To
*NEW 0 ALT. 0 AWN. 0 RPL.
i• 7o,, 0 BLD. ._-I.Z1 MB. 0 MECH: 0 M.H.
DESCRIBE WORK
vALUATlog
❑ MVE. O OTHER
O POOL
Bammeat Arm
parade Arm
to MN
Spilt Entry SPIR Level Rancher
No. BRIM No. Floors No. Room% Roc. Room
CERTIPICATE
of EXEMPTION
I o�gxy�u 'C�ECTRIC I WATER I SEWER
utiitNa
IB hereby certify that I have reed end anamlned this application and have read the '•NOTILL nrovrslone Included
reverse side, and know the tame to be true end correct. e.n Ail provisions Thegof laws aid r'rdllINICII govarning this
type of work will be compllld with whether Specified lt. does no msulhe
on 50 Ilve authority to violate or cancel the provbions of any other Stela Or 10 y/0 .9010
perfO011err st Con.
CATE SIUNATUNE
SPECIAL APPROVALS SPECIAL •• ITIONS:
DEPT. RED'D. SPEC O.
Env. Hoelth
FEES COLLECTED
Single S
Plumbing g,~
Meah. —•
P lea Check -�
E EPA
Mobile Hems �-
Other IIpealfyl-
TOTAL S
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS: / -2 2 /7 SL c`'�' / /d/ ,�- J t-�' _ /ice
7) r '
s 4 -r1
J -.:/?4.. 4:?. /1..-./:' c_z.. ,,-i/('
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