1980, 11-17 Permit: 80B-3529 Inspectlila ..
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Ell JEFFERSON / SPOKANE, WASHINGTON 99260 / 16051156.3070
APPLICANT: COMPLETE NUMBERED SPACES - PRESS: 1••.1': TO MAKE 3 COPIES
z
l
JOS ADDRESS
E•/29 Z,Sc7.ssCY
IAT
ELOCR [EI/BISIVISIDIS
OWNER
ADDRESS 6S
E. /24bv
6INTRACTJ//PTc D
ADDRESS
.SAP/afC
OESHOMR
C - Lu.9r[E
a o.o>ss£Y
PHONE
92R—�R-
LEGAL DESCRIPTION — SEE ATTACHED
P ARCEL NUMBER'S
SIP
992, C
RHONE
21P
PHONE
6 ADOELM
SIP
0.
DANOE Or USE FROM
TYPE
7. OP
WORM
O mew` DKT.
O .LO. D PLME.
DD
Ip MOM
0 IAL
0 PAR
D POOL . 0 OTNER
ANu.I Sgt liMeSs I. r—1 IW.
ISM,. aR
SW • OF P✓an n •Cuulllunon
TOO. 010,0. OfKUD.t1d SonnNuq
Dyes ❑NP ❑ R.n'a.
VNwtbn 0l011an9 at In SO F1.
moo.w FIO1H� /1100.11 Matson At.. S.d...
Alio of DEOu I POPS. women! I Wall, E.RnNnt
Na. INUI I o.10.N. I O. Roam. � .1 O111m0
aced. I RM O. rOtRlc( O.
0010010* w.RR
& (,JAOp $LIIPIPIar
VALUATION .ounc. 0A1 I LSCTRIC
8. UTILITIES 1
I hullby Coldly IIlil I Imo •*211 NRI Po011oAH IRM .IEIIRN1nit .na' 1... H+.1 01u "4.1116 r•..IJ'In* Illeludull
cot revorla sok, MN know Iho same. ••• Ir Iroo owl • inc01. AN I^N.
• , of laws RMI .-.H00q 1110
1y10. Ira WT,k 0.01 b. E6n11101M 0.011, .H•P11,a1 .001.1111,11100111•. Ito' g1w01u1E OI Iu' I •BNS •WI I00110011
10 Moo Enlh01lly 10 0,0101..11 cSncol 1101 prwlIluIE al 000 01101. a'.n.... IHO•S IM* IH.E1....•.. m001101100 .. 11t.
P6r101mm0a 01 Canlbl)11011, SEE REVERSE SIDEfORIf`EQVIRLU IN32ECTI0NNS ///y, // .�/q�)�J%��.1 /y
0A00 or ArroIc,ll0N,// . _.. 51QNA1010. •• ..l.LIENN1 ./Y--/RAfrb2llLf/.�L.A..g ZU-4
VECIAL APPROVAL VECIAL COPIOI IOhosl
NAME DATE
.3TMC.HE
CERTIFICATE
of EXEMPTION
00010. 010. I LOE.Ibn I10.11
WATER
EIWEE
ow NMM
Public 0000./. 0
USE COOK
FEESCOLLECTEO
S r01.
Bustling
PIum01no
Mod, 7^ro
Wan Cl/17k
SEP*
Mobil. Ham.
ort. lSp.oRy1
TOTAL 3 7'�O
11-19—B0
60'/1
OWNER
INSPECTION RECORD
CONTRACTOR
N S E
LOCATION
SET BACKS
TYPE OF WORK
• FINAL INSPECTION:
DATE
/074v
REMARKS: