1980, 08-19 Permit: M80-2167 InspectLRAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH MI JEFPE MON / SPOKANE, WASHINGTON WPM / 1509) 456.3575
APPLICANTL: SPAA/CES — PRESS HARD TO MAKE 4 COPIES
QCOMPPLLL�ETTEE ,N'U'MBERED
AOOR SS
'" "^ I "" 11' I "
DESCRIPTION — SEE ATTACHED
6e
LGOK 61Aei
UN
PARCEL MRER/S
DW � /J
4 �/ L-�/
7ED-1i'1�
Res
ADD s L..2. 1flP/
7 /fol[O
luOi� 1 R lw.st
1"1MP,.MM,PIr.E 5.1 WTIoll
CONTRACTOR r,d-ti.[.t
MOM
ala. of PHAN ow Classification
L MORW
.MP
Ty. Const OW WWI pNW
OV.. 0No ki❑ MAK.
DESIGNER
S'
PHONE
VMallon SuINln9 Area In s0. Lt.
ADDRESS
MP
OWL Ares IIN I Area Mope Ares SHIM
CHANGE OR USE FR, KI ITO
a
Spll1 Entry I Spill L0H Rancher
VPE
❑NEW ❑ALT. 0ADW. ❑RPL 0M OP 0 OTHER
i. wostl 0 SLD. 0 PLIAS. 0 NEC0 M.H. 0 POOL
No. Bath. No. Floors I No. Rooms Mc Room
l'!I
CERTIFICATE RR.
AW. c e. Plot R.0.
N EXEMPTION
oESCPISE WORN ��
B
FEES COLLECTED
EI S
VALUATION soad GAS ELECTRIC wATkR S[W[R
8. UIIIIIH.
I hereby Certify that 1 hive read and examined this application and have read the .NOI ICE provisions included
on reverse side, end know the same to he true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a pet mit does not presume
is give authority to violate or cancel the provisions of any other state or local law regulating construction or the
parf[rrnance Of construction.
nn TE SIGNATURE
pi
&mains
Plumbing
Mech.
SPECIAL APPROVALS
DEPT. R[G'O. REVD.
SPECIAL CDNDITIONI4
FOR GASt
PIPE SIZES:
PIPE LENGTHS:
BTU'S:
/
Plan CAM
En.. HSalln
EPA
Planning
Fir. Hers./
Mobile Herne
cam. enoinear
Other ISpecilyl
Lnlin.rh--_—_.l
TOTAL 5 9�'
Epees CNHaw
IpMI="b7
DATE %/!/Ai /O, /P20
04• •7.00
•7.00
•50011
E •000 B
21662
03-13-80
P 6479
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: 3(0 -
DATE REMARKS:
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