1980, 02-25 Permit: 80-1172 Inspect1
LAN NUMBE
-- APPLICATION/PERMIT--IPFRMI' "°N SErv-, a
_. ._. SPOKANE COUNTY NORTH Bi 1 JEFFERSON / eP BUILDING CODES DEPARTMENT . a 4-67 01'62
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
04• •1Q00
.oe i &3I,RE LEGAL DESCRIPTION — SEE ATTACHED • 1400 K
1
oanc G
Jo e LR SUEUfVIaIU PAPCELrvUMBER/5 •jQOOIS
2• -_. - ---. HONE E •400 8
atrPaon , _pe,1 � :-77v R.ealr.d5alg.cR, in Foot 7,
ES Ne[m Iseath E= i 110...4
n / 02-14-80
�,0J� �OOn L ;9NE�.i ... Sue or morcel en. cu.alneat
TRR TOR i 3 6479.
4. J cXs1 I/r "-rr. L.a a
3.21- /.6.7 . Tvw con,c OavP.Ra._ _ SPNnEI.rw
ApgR�/o/T .D -r.._,.. , .. Z99 e2 I Do.. DNo 0 Rw'a.....
N. ! r V l .S lO ! 1
PHONE Valuation Solidi. Arm m So. Ft.
6' ADDRESS
ZIP
OWL Area laminar. Aral O.N.. Ana
8.
CHANGE OF . OZ
IT° 0'ti-s
Split Entry 1 55114 Lava
TYPO 0 NEW 0 ALT. 0 2,°. 0 RPL 0 Mva. OTHER
WE.....- 0903. "- 0 PLPLIAS.CR.-NECKCCR.-NECK❑ M.H. ' ' 0 POOL
Cit -j''
/ p
STj�RISE W0 /%- /O Q �K n L✓/E�- a`4 a �'1 n i �� - FEES COLLECTED -
B. A., //�� /'ra- ... (o I•r- •Ove `_I EL[CTRIC I WATER I SEWER
InION I So y
B. 1 _.. SIMM
I hereby certify th o I have read -and examined this epplication.and have read the "NOTICE" provisions included
se side, and know the same to be true and correct. All provisions f laws and ordinances governing this gulWIno
typeon ofwork will ba complied with whetherspecified herein or not. The granting of a permit does not presume
to give authority' toviolate cancel the provisions f any other state or local law regulating construction or the Numbing
performance 0.y stru ion. ,/p0.
DATE /��q .... SIGNATOR /. �- Mach. /4/C°.
SPECIAL APPROVALS
SPECIAL GOND TI e� - 1 LJ✓v Plan Cheak
DEPT. REO'O. RECO. 1)T (5/
No. Floore
CERTIFICATE
of EXEMPTION
storage
Rancher
o. Room. I Rec. Room
R.o d. I Recd.
Env. Hamm
11,. alarm.0
Co. Enalnan
Ut111lNa
Zona Clerenc•
1
SOPA
Mobile Home
Other (Specify
TOTAL S
a
_ ��0 /
u w.
3. d 70 �pZ
WNEN MACHINE VALIDATED IN U .
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE
2-25
5-7
7
REMA