1980, 12-09 Permit: 80B-4476 InspectNUMA.
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH St JEFFERSON / SPOKANE. WASHINGTON MZEO / IWEI.o.3.IE
JDB ADDRESS z
LOT I eL0 K I U O V1 ton
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
a 41 OW,N
� et f
w.-7,,,lOn/
9103
A /114/
GESIONER
6.
o.
ADDRESS
ONONE
T.Z9 07ri<-
ZIP
ZIP
yF.Z.G5Fi
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMS(R/E
A tool Sot N aek t
ISOUth
North of Porno!
Zone CIaNllleaIo "t
Typo.... I ocoupancy
a tea on
SprinklNad
Oyu ONO 0 Rae•a.
GRIN Ins Area In Sp. Ft.
ZIP
Main Floor I UPON Floors r Guam Area Stomps
CHANGE O _USE FROM ITO Arm of Dacka I FIn0MM Saw m nt I Unlln. earmant
TYPE ESP„ 0 ALT. 0 AWN. 0 RPL 0 AVE. No. Satre. I No. Store NO. Rooms re. of Owalllnaa
7. Or
❑ 'THER
woRx ❑ eLO. ❑ pLPAe. .�mlcH, ❑ M.H. ❑POOL CERTIFICATE Rap e. I Rae a. ryes RacM.
of DpCRILI ww99ARN !ream. DIM !Location !Area{
O ibn i.�� /.c iar L !.ATER lrv// rrnca.ucna
• `taN SOURCE er ELECTRIC WATER SEWER pc...lp USE 0001
Y.
IUTI�ITIEf��/ Nplle OFlwte OI
I hereby certify that I have read and examined This application and have read the NOTII'E" nrnvisions included
on reverse side, and know the same to be true and Cnnect. All provisions 01 laws and ordinances governing this
type of work will be complied with whether specified herein or nnl. The granting of a m ^roil does not presume
to give authority to violate or cancel the provisions of any utilen slate or local law roOri:ninq construction or the
performance of eonstruc lion. SEE�REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION ///z .L —'d r ,II- NATURE UI 0PPLICANS•dr '-eithilk
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Nan Cheek
Single
Building
Numbing
Mach.
Mina
•
cg. Fnpinen
�G4000 .4 / -N/eAe
say. l 44-4- .filo�A'
Mobile NNW
Otter ISpeclM)
(d•
•1501
• 1500
• 15000
•Doc 1
4 4 7 5 4
12 -04 -80
4 6479.
(
f
OWNER
INSPECTION RECORD
CONTRACTOR
N S E W
SET BACKS
LOCATION
TYPE OF WORK
FINAL INSPECTION: /v
DATE
1.2/�
REMARKS:,