1980, 01-18 Permit: 79-9604 InspectF
—J�APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 l<FFEASON / SPOKANE. WnSNINOTON woo) / MOM .14,0,1
APPLICANT: COMPLETE NUMBERED SPACES PRESS HARD TO MAKE 4 COPIES
:°:Ka,a`o�, N nae II�7yI�LISm7.
LEGAL DESCRIPTION -SEE ATTACHED
DwnEPn0
3 ADDRESS ! -,
PHONE
IP aI$a
vanCEE HUMRE
R.aa,.a sn E.S. 10
1n en
How0 ISa
ONE
(naq-La14'))
SR. or Poen
Zone CavRHaw.
ADD5e tA0611_9_
y
Oas,ONER
6' ADDRESS
zrA
aq�oa
cAo.
Se•Inkl.,.a
Dyel ❑ a 0 Rea,.
PHONE
liullias I ORA,n. err 10 S4 FI.
MP
OWL Area
Orr. 1.441
0401
..a
War
CNAN0E 0P USE FROM
6
TO
Sulu 001
7, OTE 0 NEW 0 ALT. 0 ADM0 RPL 0 Mot.
WORK 0 OLD. 0 PLME. 0 MECH: 0 M..t 0 A00L
0 OTHER
NA Reams
CERTIFICATE
EXEMPTION
Ron 0. j Roc a. R.a'a.
D00CRh.E WORK
4
VAl ATION
6.
)2�6a
STo ! DA EL ETA.rlr
ATER
SEWER
I bitchy Cerlily Mit I have lead and e.nnined 111:1 ofa1KRI,V1, 0101 Nan 1.00 the 601 ICL' m1.1,10113 1,10113 rKlud.d
IN1 levtnt side• and know the sans lu 10s that, Aral cmittt. All 1)00 ,!01s al laws am) •10.1 nav-. RuvenluIU 11111
IPA CI work will 6e complied wdh whel0av suec,liad hoar, en Illy Vranlu Jul .. ..^ 1, , ,N.. nut p0,
to gon +1Nlm:ly to violate or cancel do presi0m.t .d Any 0160: v'1.1...n Inc.! law I1NI,d,n,.l ..rr:NlCnan erRIn<
perlQrmancc 11 CanslIUtt,Dn.
DATE
SICNATUJIC --
DEPT.
E0,, Hulih
IPMBMn1
IIII CO. ENM:..
SPECIAL APPROVALS
REVD. RECO.
Zen. CMN....
SPECIAL CONDITIONS:
FEES COLLECTED
SAre 1
SAWA%
Plvmbinl
Me.0.
AAA Cheek
SEPA
WWI. Home
011,. fpa.Ryl
TOTAL
3p
DATE
PER IT w
.300
• 10 0
• 3008
• 800 8
6038
12-28-79
8 6479
WHEN MACHINE AL /RA/ :1I
thr I00III.Wu • I,LAI
5
OWNER
INSPECTION RECORD
CONTRACTOR
LOCATION
NS E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARK