1980, 12-08 Permit: 80B-4370 InspectrC
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 09360 / IEOI458 -3875
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
3
JOS ADDR W
Lo k Su6b6 OL � LGI��
OWNER
AMR
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMSER/S
PHONE
ZIP
"s�aLOv'R`�
DESIGNER
PHONE
yy92
zie
Y9L/G
PHONE
Actua 5« Backs In FM Ida IW
5lzat of Parcel �Yt6 120nSC0OItlutonR
Type Conn. I OcCoMoa
Valuation
awmAhAee
0y« 0No 0 Raced.
9ulloln9 ANS lo 55. Ft.
ADDRESS
31P
Mal aor
Gm'« 9)0011 Comm Aro I Stora.a
«PIG «ka I Flnlm.e Ba«mont I onnn. aawment
e. aatna No Stpa« 7I o. Room. No. o D.aln.m
CERTIFICATE r Rao'6. rotRp•8.
I EXEMPTION
CHANGE OF USE FROM
5.
Tt'K It r'1EW L] ALT. 0 TOM. 0 RPL ❑ MVE. 0 OTNBR
7, 0056 0 SLD. o•. 0 MECH. 0 M.H. 0 FOOL
DUSCRISE WORN
(Arm)
6 Q wT10I /a I WATER SEWR 'OWn«Mlp UE coca
Public ❑olvata ❑ I
I hereby certify that I have read end ekammed this application and have read the "NOTICE" nroviSions included
cm reverse aide, and know the same to be true and correct. All plovislons of laws and oldlnances governylg this
type of work will to complied with whether specified herein or not. The granting of a pen. does not presume
to give authority to violate Or cancel the provisions of any other State or local law 105511zhng construction 01 the
prformence of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OP APPLICATION — A`0 SE SIGNATURE OF APPLICANT
MBIAL APPROVALS SPECIAL CONDITIOMI
NAME DATE
MINER
P. Enaln «r
Jaatie
/ [ t) JIL
iJIG ,.
/ 6L....1
FEES COLLECTED
Singl f
Building
Plumbing -Lee&
Mesh.
Plan Check
SEPA
Mobile Nema
Other (Snooty/
TOTAL
r'/3— 4376
03• •2R00
•2500 E
•2Eoog
A •000 N
43695
12 -02 -80
2 6478
OWNER
INSPECTION RECORD
1111111111111111111111%
CONTRACTOR
N S E W
SET BACKS
LOCATION
TYPE OF WORK,
FINAL INSPECTION:
DATE REMARKS: