1980, 12-11 Permit: 80B-4366 InspectAPPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99280 / (BOW 488-0876
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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at
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMDER/s
Olg
ZIP
S.
CONT
erVaa
DESIGNER
PHONE
PHHti to
Actual Set flecks In FNt
North ISOU01
Slut of Parc.
Lest
Zoe Claudication
sormxxxxe
Ora 000 0 RN'S.
allele Arse In SR. Ft.
ADDRESS
21P
aln Floor
Upoer Floors 1 Garage Ara
St rag.
CHANGE OF 110E FROM ITo
a
Arse of Decks I FInIMed easement
unttn. Easement
Tye DAME? 0 �ALT. 0 AD'M. 0 ROL. 0 %WC.
T yfDRR O OLD. GRM[. 0 MECH. 0 M.M. 0 —51222121 WORM
VALUATION' SOURD I AT RIC jI I
9.
SEWER
a UTILITIES
❑ OTHER
No. CERTIFICATE. SWIM I R.E•md o 1 Recd. rot Rwlne. 1No. of
of EXEMPTION IJ
lnum. u. I Leatlon (Arse)
USE CODE
Public a0 Prints O
I hanky certify that I have read and examined this application and have read the "NOTICE" provisions included
on ravish Ode. and know the same to be true and correct. All provisions Of laws and ordinances governing this
WO. 07 work will be complied with whether specified herein or not. The granting 01 a permit does not presume
to give authority to violate Or cancel the provisions of any other state or local law regulating construction or the
performance or construction.. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /'�(A'
DATE OF APPLICATION —T%�� SIGNATURE OF APPLICANT r �-�4/'
SPICIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Sisnnln9
Marsh,
Engineer
Miles
ton n
ZWL / CA.,»
2 v / .gw.w,U,
1SitilG
FEES COLLECTED
SI 91 E
Building ...e Q���7i
Plumbing Arl
Mech.
Plan Check
SBPA
Mobile Home
Other (Specify)
TOTAL E 2,e
C • •2800
•2800"
•28008
P •000 0
43650
12.02-90
4 6479
w„ 9
WREN MACHINE VALIDATED!
OWNER
INSPECTION RECORD
CONTRACTOR
N S E W
SET BACKS
LOCATION
TYPE OF WORK
FINAL INSPECTION:,; j; / _-
DATE REMARKS: