1981, 01-09 Permit: 80B-1176 InspectPLAN NUMBER
19 /3affa
ADORE
AIYPU(ATIQN /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE. WASHINGTON IRZMO / 15051 850 -3615
APPLICANT: COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 3 COPIES
A4522 1 q
OWNER
a ELgyNS ScNR06OE c
ADDRESS
CONTRACTOR
4.. ADDRESS
5.
PHONE
5¢733xv
ZIP
z 7
PHONE
LEGAL. DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
qre OP .3 1) -O aoa A4'< 4
L4iec ,►A•KNO'O
c oel set Backs In Feet
6
DESIGNER
ZIP
Type Cann. Ocoowoge WNW 0
OVea 0Ne 0 Reg,.
Y.Is7 /p 000 Be
Am In 50. Ft.
PHON
ADDRESS
ZIP
CHANGE OF USE FRO
6.
TO
TYPfi l NOW 0 ALT. ❑ AWN. ❑ R L. ❑ M
T. WORK 0 5LO. 0 P1,18. 0 MECH. V'MCH. 0 POOL O OTHER
DESCRIBE WORN
a ..344,62e- o 0UC **°02 /An."' (/t%X o)
,yA{ VALUATION SOURCE S ELECTRIC WATER SEWER OwnerMlp 058 CODE
V /6,0.0 UTIIITIHe Se - Poollc r
I Ilernby artily Ill I hwe reed and examined this application and have ..led the "N.I 11,1 - , provislnna Included
on reverse tide, end know the same to be true and cortecl, All pl oWSmlls 01 laws aid ollhnam:es governing this
type of work will be complied with whether specified herein or mot. The granting DI n palmt does not pre581118
,;t0 give authority to violets or cancel the provisions of any other state di local law regulating cbnstructloll or the
r,Morrnance of edutructlon. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS J[�']
DATE OF APPLICATION 9- .79 -ep SIGNATURE OF APP LIL.IN I "- nG�!2
9Fdor I Upper Garage... I Storage
8. r Fwor. .r.g
of Decks I Finished Basement Unlln. Basemen
N0Z tns I No. SOrNI No. Rooms Il o. / Dwellings
CERTIFICATE Pm 8. Ree'8. of
em EXEMPTION
Mink Dpt, I Location IArMI
NAME DATE
SPECIAL CONDITIONS:
4,34O FavAt R8 <e'NSe-
I+�■ 10 P∎lit
`Kee
i2avwiav(
FEES COLLECTED
Single S
82118109
Numbing
Mach.
Plan Check
SEPA
Mobile Home 0` 0°
oche lSpeoifyl
TOTAL S' 0 db
PERMIT
FOB -1/74
+5000
+5000
• 50002E
•000 8
11)7.48_
09- 29880
447'95 , QA,
HEN MACIIINI V/I LIDA I IN IIV 11115 SPACE.
INSPECTION RECORD
ADDRESS
DATE REMARKS
,J,1,( 42
77 s e
e h'