1980, 01-29 Permit: M79-7956 InspectNUMBER
APPLICATION /PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH ait JEFFERSON i SPOKANE WASHINGTON 99360 r ISOgl.43 MIS
APPLICANT' COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB DRESS --
.W ADDRESS
DC NfrIT5ifatj
3 FLI tRI LLLiH/ 61-A4i4LCCL
ADDRESS
;G.; a i .cL12.442 :U 4
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER
9 -/809
ZIP
99:c/e•
PHONE
eeulrad Set Backs In Feet
!South Otth
lee of Parc•I
r quL
ZIP
PHONE
Type Can't
Occupanc
sprInkleml
❑ygs ❑NO ❑ Rowe.
Roman Ante M se. Ft.
CHANGE OF USE PRGM
a
ZIP
OWL Area
Split Entry
easement Aron Games Arm I
Pllt Lm
Ranm.r
PE 0 NEW ❑ALT. 0 AD'N. ❑ RFL 0 PAVE. N Bathe No. Floors No. Roms
7. OF ❑ OTN[R N. (I P.C. Ream
Wqq��E�/ORN [L
//pp//O.
��y�a44Q.P1,ME. ❑ MECH: e❑ M//.N. ❑ POOL sj. I 1 EXEMPTION CERTIFICATE Rp'o. I Roc tl Elei Rp'tl.
9. sr:T; :t=c -/(J t /1gyp ,/LG�f�!'ya -',f '� r.P.1//-C/ o SE FEES COLLEICTED
VALUATION
- Ir "} I eLEUT I ATER I wER
9. I S' 01
1 hereby certify that I have read and examined this application and have read tl.. "NOTICE" provisions included
on Parana aide, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to glOP authority to violate or cancel the provisions of any other state or local law 'egulabng construction or the
performance of Construction. Plumbing
/71,1
Building
DATE 4/—../G 79 BIGNATUR[ 0I.a/ afr-A./
DEPT
SPECIAL APPROVALS
RECO. RECTO.
an HMIt
Nanning
Pura Marshall
Ce. Engineer
Ut
Zeno Clearance
PIPReeneppeTto
SPECIAL CONDITIONEI
Plan Chock
SEPA
Mobil• Nam
Oth.r IBO•lty)
TOTAL $977
PERMIT
Al i 7 —
DATE //-/e,- 7f
04• •7.00
•7.00 K
79559
11 -16 -79
5 6479
WHEN MACHINE VALIDATED IN
//- /G '9 �r HIS BECOME 0 E� MIT
nFF,�tAI,R.rtJ�.r.%oSCtr.�iu� ' 1` ^� 7
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W
SET BACKS
FINAL INSPECTION:
DATE REMARKS: /
/A 5, o /���< -C /S- Gr 7 -T/n 61-e /
7-319 ati 1
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a Re()