1980, 12-11 Permit: 80B-4474 Inspect[
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 981¢0 / 18091 2863878
APPLICANT COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LOT I BLUL11 Isu[U
JOE ADDRESS
. /g,;(016 .Q4 /A�wiil
2
OWNER
a D /J.4.yo fr7/1/
14 Ili .s'
•
ADME% %Z s/ ArA/
DESIGNER
5. ADDRESS
Q
ONE
�x y.-t'r T
PHONE
2.01
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
dual Sel Backs If get
I to
.P koute �wxl
ne CIx•IIIOIIOn
/forth
SIN of Paw.
Ty. Lona.
Occuxnoy
VaiNtio
SprinklNx
Dyx ❑no 0 Raga,
Building Area I 0 Ft
In Floor I UN.. FINN ( OWN. Arx store.
CHAIN[ OP USE PROM ITO Arx of Dxx I FinIM•a . mast ljnlln. B•Wrxnl
090. ••1h• I No. atorl•• No. 550m• �!o. of Dwelllna•
WORK BLD. PLM \. SCN, ❑ M.H. ❑POOL CEfTIPICATE f Rx'tl. 1 qx a. rot 8.02.
UCRIB[ of EXEMPTION Dy Enum. h, 'Location lArxl
VALUATIO qC[ • USE CODE
I• UTI LOITI[S Public O Pr..
I hereby certify that I have read and examined this application and have read the "NOTICE" 110010ions included
on MOM side, and know the same to be true and correct All provisions of laws nisi inihnances governing this
type of work will be complied with whether specified herein or tint. The granting of 0 Permit does 001 presume
10 9Wa authority to violate or cancel the provisions of any other stale or local law regulsiinrl construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
' DATE OF APPLICATION/2 2,_ O SICNATURF (10 APPLICANTd
h IICIAL APPNOVAL$ SPECIAL CONDITIONS:
NAME DATE
TVPE EL`WWEW (] ALT. ❑ 00N. RPL. 0 M
v¢. 7.
O OTHER
w.J , u P watt/ -///
OAS ELECTRIC WATER SEWER
inaw
I bol oc,.
�.Qr WC1
AWES COLLECTED
81 pl , De,
&sliding
Plumbing
Mech.
Plan Check
8EPA
Mobile Homo
Other ISOWifyl
Q1 PER IT NUMB
X1 e G 44 4
04• •1500
•1500
.15008
A •000
447.32+
12 -04 -80
6479.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WOR
FINAL INSPECTIO N:
DATE REMARKS:
G/ c` /S/G
jJ gs S 1//5 -7L �/
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