1980, 07-08 Permit: 80-4734 InspectLAN NUMBER .414
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH eft JEFFERSON / SPOKANE, WASHINGTON 90260 / ISOOi 4660615
APPLICANT: COMPLETE NUMBERED SPACES -PRESS HAND TO MAKE 4 COPIES
JOB ADDRESS
1. A`- /5'a.7 11.40", v
LUT BLDLK ISUUUrviSluN
2.
a e[sruc� o v P /vs
DRESS
/d j.70 Y `a.r4r.
CONTRACTOR �j
4. .F/71Gr7B.t1 T ®�iA/
6.
d 's:rOo B C..�.Tri/
DESIGNER
AOOR[SE
eOE$8oi
ZIP
Y8E
7 -saes
2#7,7
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PAeCEL NUMBER'S
. n reef
North Set
Twat
ion. clammmtmn
p. Conn Oecupan
❑y.. ❑ No a 0 R.a•a
Hustle n 1gullmng Arm In Sc. Ft.
CHANGE OF USE FROM
IP
yPE 0
7. WORK 0
w 0 ALT. 0 PO•N. 0 RP, 0 PAVE.
O. 0 PLMB. 0 MECH: 0 M.H. 0 POOL
DESCRIBE ORK
9.
p,„.1.
vALUAT !aura. �B utIMa e�� 7
0 OTHER
owL Area IPopmml Arm Owam Arm fteram
MEE Entry Sallt al Ratm 4.
No. Bath. I No. Plows No. 'Weems. Rae . Room
CERTIFICATE ao e e 1 e0 aao e e t eo a.
of EXEMPTION
/ I eLf TRIC' T 3 WATER
SEWER
I hereby Certify that I have lead anti a Dui ne11 this application .31,11 Il 1.30 the "NUIILL" 11100* included
on reverse side, and know the seine to he 11,10 .rntl control. All p11W1011 I• of saws .111,1 in• 23L gooerni1,y Ihi,
NOa of work will be complied with when,,., .Vrr.lhed hewn. to o . I h• 'canlr1,n ,l1 ,hies not 010x!11111
10 MVO mothority to violate n Cnncnl the provluolls 1,l :Illy ,1,hrl sl.Ilr ��r ■.,cal law I1„ 11.il •rt truCtlon or the
performance Of COnslnlFcyy5. f/' ��fs °.f �,.,.. �'
RATS 11Zd /OO SIf,NAIUHF y--4yr.,
SPECIAL APPROVALS
DEPT. REG'o. RECD.
Env. HMIth
Planning
Piro Matt al
Co. Eneinem
Zone Clearance
SPECIAL CONDITIONS
EES COLLECTED
S. SI S
Building C/
Plumbing YR, GD
Mach.
Plan Chock
SEPA
Mobile H
Other (Specifyt_J
TOTAL $ / oz)
MIT NUMBER
DATE 8O
04800
•4800
•48008
•000
41337 ,
05 -14 -80
9 6479.
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
(4L 2(,