1980, 08-21 Permit: 80-8480 Inspect(PLAN NUMBER
1
JOE ADDRESS
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 00260 / 16091456-3616
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
Lori EL.
2
• ADDRESS �A, _mow'
CONT,�yy.��. R
4 sm-71e,
I• ADpBEOA J� \Q ,AE-Ff d6I
,0
aorvul&Dn
DESIGNER
PHO?"1 NE
7567
IP
L NUMBER/S
?5- ("1
Actual Sal Backs
n Foal
'SOUP,
Size, of Pare.
(Wast
Zene CleWllrallon
99,7
T ea Cons
PHONE
uelon
IP
ADORES6
al
UOoar Floors
Sprinklaratl
OV.. ONo 0
sum... Area M Sq. Ft.
Garage Arca I Stow.
TVP[ 0 NEW 0 ALT. 0 AWN. 0 RPL 0 MVE. 0 OTHER
WOR
T. OF 0 BLS. 0 KMS. 0 MECH. 0 M.H. 0 root.
N
No. Reams
Unrin. BaramMt
o. at Dwellnws
DEF DISE WORK
CERTIFICATE
of EXEMPTION
u , Hill. 'Location IAreel
&w[ cool
VALOATION .0000 GAS [LLECT C i WATER SEWER OwnarmlP
iUTILITIII h 0uollc O PrWe1a 13e.
I hereby certify that I have read and 10 be true
this acorrect. dull 001 lead the s and I'I:" provisions love Inclgoverning
this
on reverse alio, and know the acme to be true and correct. All mnv lsmns GI laws and ,a dinanres povvrmng this
type of work will be complied with whether specified harem to not. The granting Dl a permit does not presume
to give authority 10 0)01ete or cancel the provisions of any nlhei slate DI Inca) IoW leimloIllnl nnnatruetinn or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
GATE OF APPLICATION /7" t7 SIONATIIHF 01 n1'PLICnNT
SPECIAL APPROVALS SPECIAL CONDITION[;
NAME DATE
Env. Has
Mannino
71. Marshall
0. 10.10ear
Funs Enammer
es P.
Rs
01 Rp'tl.
FEES COLLECTED
SINN S
001WI.
Plumbing
Meeh.
Plan Chock
SEPA
Mobile Home
001011Spoc110)
TOTAL
ti W-igal 1
043 +9.00
*9.00 E
•90015
0 •000
E
847.93
$ 6479
:ci61�HKl+n+
.:e
9
J
.P,2)
OWNER
INSPECTION RECORD
LOCATION
CONTRACTOR TYPE OF WORK
NSEW FINAL INSPECTION: joz/- j
SET BACKS
DATE REMARKS:
•