1980, 07-11 Permit: 80-5922 InspectAPPLICATION/PERMIT
�OKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99760 / 15061 4063675
APPLICANT: COMPLETE NUMBEBE&5Pl+6,ES — PRESS HARD TO MAKE 3 COPIES
005
/ 7
PHONE
' -9.z55
PafiC
osrsT CTOR
0661105660516
ADD6669
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL HUM6ERJ9
SIP
9.46%,Node
Actual Sat Packs In Fmt
ii
Sown
ift
PHONE
5166 o1 Parol Zona Clanlidatl0n
ZIP
Sprinkler.
Ova. ONP O IOWA
014014E
valuation LOOM Arae In $6. P1,
ZIP
MOO Floor
ONANOE OF USE PROM
LTD
4660 0106.. OKRA Arm
Arm of Peeks 10191.6* ammanl I Loll, 8.040..,)
TVP*
7. OF
WORK OIILD.
❑ ALT. 0 AWN. 0 RPL 0 AWE.
O PUPIL ZMECH. 0 M.N. O POOL
❑ Otos.
00.6.s6a
No. stories
CERTIFICATE
of EXEMPTION
rimed
Racd. R'Jn1060'),
pfE
& ..Dro
A6 wo5
,{laAdl_DA RCE
three TIES
know. OM.
Lomtlon 10res0
OAS
ELECTRIC
TER i SEWER
Ownsonlo
Public O Pd.. O
USE COOS
hereby cerbly that I have read and examined this dppllcnnnn .md haw' lead the "NOTICE" i.r nonxrra n, luded
n raver* side, and know the same lu be true and cone. All provisions of laws and ,4 Inlances governing 9111
pe of work will be compiled wrth whether spen+fied ne em nr Ind the granbo9 of r 6., 0011p.01010e
9100 euthoflty rn violate or cancel rho prowSions of 61'0 Other sloto or local law reroNatlnn r lnlattrlctlorl rn the
/lemon. 01 Con;rrucnuri.L. ��O_.�'SEEEREVERSE SIDE FOR REUUIREU INSPECTIONS •
DATE OF APPLICATIONRU S111N l roll EOl /WPC Il ANl
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Soule S
Building
Plumbing
M.P6.
Pion Chock
CEPA
Mobile Home
Other lSpae/Kyr!
TOTAL S
WNENM01'010.! 041100000
TRH BECOV, a PERt11,
04• .70
.70
59219
06 -1B -B
9 4479.
�. 1E 922 67,ODY:
7