1980, 07-02 Permit: 80-3164 InspectAPPLICATION/PERMIT
SPOKANE COUNTY SPOKANE,
BUILDIING CODES DEPARTMENT
R
NORTH 611
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB
DRESS l
50.
Lar I BLOCK ISUBDlwsON
2
a OwNERcb.kaOk w-(
Q1'
ADDRESS
LEL0AL DESCRIPTION - SEE ATTACHED
ARCEL NUMBE R/
43
R N -$105
ed Set Bac.
In Feet
16.00
Iw.O
CONTRACTOR
CX.
Lss
• ADom.
z.430�
DESIGNER
}
7 _ 35)
IP
Size of Parcei
Type Const.
PHONE
Valuation
Sprinkler.
Oa, ONO DRme'd
MAW,. p Arae In SR. Fl.
ADDRESS
SIP
OWL Ares
a. ent Alda,
Storage
ANGE OF USE FRO
TO
Split Entr
Split Level
Percher
TVP. D NEW" 0 ALT. .8(AD'N. 0 PPL.0
WOPK / 0 MVO. OTHER
�. OF D PILO. 0 PLM*. Q(MECH: D M.H. 0 POOL
No. Bal.
No. MON
No. Rooms
Roc Room
CERTIFICATE
01 EXEMPTION
DESCRIBE WORK 1YLCp,M1
VALUATION l�'Sourm OAS �-6„ CCTRI wA EP SEWER
it
1 hereby certify that I have.read and examined.this.epplication andhave read the "NOTICE" provisions included
op reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will he complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate ar cpncel Me provi33lTdf-Sny 02602 Me or I0cffi'1aw regulating construction or the
performa'n`ce to1ff1 cognsetvr-action. 4- - - _ `
DATE 4^ Y� aV �- —� --- SIGNATURE v UXL-.LeZ�. -,
DEFT.
PPECIAL APPROVAL*
REQ'D. RECD.
E nv.110.1111
Planning
Flr• Marshall
Co. Engineer
u tnule•
2ori• Montan.
SPECIAL' CONDITIONS:
FEES COLLECTED
Single i
Building
Plumbing
22—'
Mach.
Plan Cheek
SEPA
Mobilo Home
Other lSPveifvl
TOTAL
�IPFRMIT NUMDFR
I ®D-sIC*l
DATE 1-4-�
Cn• .900
•900 0
•9005
•QOC 8
31638
04-07-80
6E79.
f\
WHEN MACHINE V0110011Or
INSPECTION RECORD
CONTRACTOR
N S E
SET BACKS
DATE
TYPE OF WORK
W FINAL INSPECTION:
REMARKS: