1980, 11-19 Permit: 80B-3889 InspectrNORTH alt /EPPERSON / SPOKANE. WASHINGTON SENO 1 Hal .11.3•76
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
AE AOOR[3S
E'4�/nH6 FYI
• APPLICATION/PERMIT. -
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
1. Ric/ 1,1. 13,,,ke,
an.41 UVW SUOtllv1i51
3 —1Kc•K i'ff`f"I LIN
=WI S
A
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL N0MEER
Mm, 5.1 4.Epf In 5.0
Le
501 of 041.0 (Zone CCwlk.IIo n
✓ Hn ISP/Lnft
AGGRESS
OEs,GNEw
s• ADDRESS
CHANGE Or USE FROM
a
>GP
SWm4Mw
DvH ONo O Poo,
PHONE
vww0on 1EOIama Arm In 57. FL
TYPE Mil/HEW 0 ALT. 0 Aa»1.
%. OF
AA 0 ALO. D Play. Yf MECH.
O 1 I5E MIS
OR
a `oala o -
✓ DATION SOURCE
O, TIUPPTIES
❑ RPL
D we.
O WL
0 Aa
0 OTHER
Maln Iaa 1 ugom Floc, r OH.N Amp
Arm of OHM I Flnl»ea E.1•menl
Na Ea1M I Ho. Stones Na Reemr
CERTIFICATE Ro.
of EXEMPTION
Unlln. MosomN
No. of GwMnnN
EAum,
Lnullon OWN)
OAS I ELECTRIC
WATER I SEWER
Ownof MIS
N 4Ola 0Pllwle 0
SAE C001
!mew certify IR4I I ham read API M13111111011 1110 giAaunnn .11141Hu44 Ruin Inc 'Ni I.11 , „rvif,una inclu11c11
011 IMMIss
fink• MKI knew Ih• ,aloe if 10 .RAI AI mu,m.?. ••n III?Nffiln,f HI 1AM, ••,• •• •.. IPwurmem 11,,,
type 01Warts will he EO,fMi•d with WIa11m, Nw0lool IKnmf.01 CML IN!Emilio •' • • n•11111 the 5101'II11
10 Vika authority 10 4141011 05 came Cael e woos... um 3,5 ndan etpn• fes pw , n, .. „ Rut ,u1, HI H.
perforrnOfC4 Of CORIIRMlion. SEE REVERSE SIDE FOR REQUIRED 1
DATE OF AFPLn:ATIUl1__�� (�— �VO SIl.Nn10111 UI
YECIAL APPROVALS SPECIAL CONDITION&
NAME GATE
„4.7p,„—
OWNER
DES —
Tg�AT,�o,a.ET7 :ti ,,/i 9/ Fa
fEES COLLECTED
5' 4l 1
Rolan g
Plumbing
Mese.
Plan Cb.54
S550
Mobil. Hanes
OtMr (Specify)
1
TOTAL 1
00'
L•
•700,
•700•
1700E
• 000
11-18-80
6479
OWNER
IMO
INSPECTION RECORD
LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION: ll -/9-0 T r4,
DATE
REMARKS:
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