1980, 06-11 Permit: 80-2625 InspectIMAM NUM.[R —
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 1111J1000 R0ON / SPOKANE, WASHINGTON eeieo / 150912511-]0)5
APPLICANT' COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1 144 (tett '4441*
2
mi.
la iv:41 l 4
ADDRESS / I
9 fi AO /Ad Zd A.oLl eE/
DRESS
/so¢ P .L ,,e4.+b....t.a
DESIGNER
▪ ADDRESS
0DN
lot4- 4542
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUM0ER/S
37 a5
c/ L/
ZIP
g*zi6
PhlOra
Actual Set Seem in Peet
1.470
'Woe
ae.lm
Davwn<v EOM cHeunauon
Sorin
❑re. ❑Nov0R
Building Aran m sc. PI? 5
ered
uePer Floor. ...ee Ar.. Un Stow.
Finished gamont Iln. aeum
Sim Par.
ZIP
991
Tyr. Conn.
PHONE
Valuation
ZIP
MIMEO( DP UM PROM 10.
T- VP[ - 0 NEW 0 ALT. 0 AD'N. 0 RPL 0 Mtn.
7. Dr
wono ❑ PLO. 0 PLM[. 0 MICH. 0 M.N. 0 root.
RIPE WORN JL.
d U cast F,c 0S F3/�tNABE
V L T SOURCE Aa L[CT,r I WAT[R
E. VrlLlrlEA
Main RI., Ara el Deees 1 ant
0 OTNER
. a.tn. I Na. 1001.. Ne. R
CERTIFICATE R.a'd.
of 101W01ON
No. .sem INo. of Dwelling.
R<I<id. �loi
[num. OI.t. !Location (Peet
e[W[n
Dwner015
PUSIN 0 Plan 0
OSE COO!
nmIny certify that I have reed end eaemined Mit .ppllCetlon and have rod the "NOTICE" provisions Included
on reverse side, sed know the same to be true and cornet. All provisions of leen end urdinenon governing this
type of work will be complied with whether epeclfled herein or not, The granting of permit dot not presume
to give authorty t0 violate or cancel the provisions of env Other state Or local law rrt0/lgting on* oefIO11 or 00.
performance of construction. EEE REVERSE EIDE FOR REQUIRED INSPECTIOr�
n DATE Or APPLILAI IUN '1 . 4" to SIoNAIUAS OF APPLICANT
SPECIAL APPROVAL! SPECIAL CONDITIONS:
NAM! DATE
1 " PI°
r•,e M.,0.II y
0110 COLLECTED
Elnhl
evnding
Plumbing
Meeh._
Plan Check
SEPA
Mobile Horne
Other lOpecilyl
TOTAL 0 /21-6—
IP-ERMIT NUM[[R
▪ 120P
• 1 . C? JI
012003E
E •GOO 8
26244
413-24—BO
6 64'79
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: