1979-12-17 Permit: 79-8576 InspectPL AN NUMBER " APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 150914580676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1 JOE ADDRESS
j i(q/ a 3
a <-HNVe
C0NTRK07
l /]'r0ns ilApri 1l�
4• ADDRESS
KI 1,06 1) ()ask
DESIGNER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/5
Feat
R
rduo
of Parc11
Type Cons
Occupancy
PHON
Valuallo
SP.InxHrae
Oa , 0No 0Reg•a.
ADD
OWLAma Iaaaam.ntArea
Q CHANGE OFA0 0 FROM ITO ^ Q
Sont E.
SPm Lava
▪ VPE ❑ NEw {ALT. ❑ AWN. ❑ RPL. ❑ PAVE.
%' F O 0TNER WORN OSLO. ❑ PLMB Q c0i ❑ M.H. ❑ PooL
D ESCRIBE r
Y
!( nee nr��li,3M�
B. VALUATION,R�� 'IV'
I B
9. 11111110/
No Sat a
No. Floors
o. Rooms
ELECTRICe I WATER
CERTIFICATE r Rap'G. •0 4. rot Rap
of EXEMPTION
FEES COLLECTED
SEWER
I hereby certify that I have marl and examined this epphcatinn and have read the NO 111;1. 'envisions included
reverse on side, and know the s e 10 be Inge and u 1. All provisions nt laws and oidni.nices governing this
type of work will be complied with whether specified a
1, 011101. The granting 01 a peniill does not peesunte
to give authority to violate co cancel the provsiuns .d .iny1l110r state or local law ^9ul.innt cunst1UCti0n nr the
performance of construction. 1 DATE 2 ;—( t SIGNATURE
EPT
SPECIAL APPROVALS
RED'D. REVD.
Env. Haalt
Planning
Sono Glaar•nca
SPECIAL CON) S[IONSi
/oz en 437 a Calw-
ILa/Let c 1- Ere4
L.4mB -tat- .
Single
BulldIng
Plumbing
7%1124
Mech.
Plan Cheek
SEPA
Mobile Home
011,er (Speedy)
TOTAL $ ��•�
PERMIT AWARE°
DATE —2r Q
04• •1200
•1200 0+
•12008
B 0000 8
857.53
12 -03 -79
3 6479.
WHEN MACHINE VAL MATED IN
THIS BECOMES A PERMIT
OWNER
INSPECTION RECORD
CONTRACTOR
LOCATION
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
i2&
DATE REMARKS:
12-•17-7q patc4c - tiffs