1980, 02-08 Permit: 80A-9915 InspectLAN 61000 3. )0
x
AE ADORE
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 IEPP•RSON I SPOKANE. WASHINGTON •417110•417110ISU
o I TI 15675
16
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MANE 4 COPIES
G '
PAR
LEGAL DESCRIPTION — SEE ATTACHED
NumeEler5
CONTRACTOR
1
4.
A 3 �� �U
16' ADD6c•s DEaAZ
Loo
P ON
7:- e.5'' r
Ibeaw
ono Casa..
LIP
Tye* Coml.
Dov wnn
SwInEN.M
DYE. 050 D R*u'u.
PI ONE
Mang W. In Se. I.
CFMNOE OF USE PROM
LP
CI An. I6.um.nt ANN
Ow*N Ara.
51a.n
TO
50111 Entry
L•..
Bonen,
TYPE
7. or
MORN
0 NEW 0 ALT. 0 ADTI. 0 RR. 0 MVC.
0 Ela 0 rum. 0 MEDw 0 KK 0 POOL
O OTN06
No. BEIM
NA Plow. I No. Poem.
AN. Roam
CERTIFICATE
el EXEMPTION
el RN'o.
DCSCA10111 RN /yt1��•�\ W
9 SVAa F. 1 Saul(0 aAf ELECTRIC
,`. 9.
1.
ATTn
SEWER
I ImC•71.115roby C•71.115•
i15 hla e11 haw road end axaninad Uapplication and Novo read tha "NOTICE" proyi7on' Included
on maw side. and know Me some la Da true and Monett All piurisions of Iam and ordinance. governing Ihn
typo of work will b. complied wills whether 'pacified herein or not. Tia glantin701 5 po1n111 doe. not presume
to ph. authority 10 Yiblate or cancel the Mahlon. of any 0tho1 Mato or local law regulating COnStrutdon Cr the
per iormanee.off construction.
/ T
DATE \ — — PV SIGNATtIR �.ey
SPECIAL APPROVALS
DER. 600.0. AEC'0.
E.W. NW
Mann
A4• Mao.
Co. GNI.N.
oNmmeas
CN.•.nr.
SPECIAL CONDITIONS:
FEES COL4ECTED
51 011 9
Building
Plumbing
lass.
Plan Cneca
5EPA
Mobi• Harm017.1 t5penf5I �IbO
TOTAL S
DATE
06• •7.00
•700 8
•7008
F •000 6
991.4e
01-08-80
d 6479
"la WNER
CONTRACTOR
INSPECTION RECORD
LOCATION
N S E 'W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
Vekv
REMARKS:
44iv‘7-(v0R/Y ak
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