1979, 12-10 Permit: 79-8682 InspectAN FABER
2.
3.
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH ell JEFFERSON / SPOKANE, WASHINGTON
-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD
DESCRIPTIONTOMAKECOPIEES
ATTACHED
JOS ADORES5 .
OWNER
f •1 Lil
ily . ��
Zoneae•soanki.ed
ease en Ara O
L A... O.age Am. sore.
Ow
CO
TOR
4• pDDRE E`
OESIONE
1• 7L.-
6' ADDRESS
LNANDS OP USEERO
iii
ZIP
ZIP
Pe Co
PERMIT NU
DATE
04. • 1'200
.1200 t
.12005
E •too_8
86811
12-04,-79
6479
J �Floc, s No Ronm•
6. ��
TVPE 0 NEW LT ALT. ❑ *D' WE. RPL 0 E. 0
0 PLAID. OTHER
], WFMECI0: ❑ M.H. 0 POOL
ORN d BLD.
DES EX WORN 1 SEWER
0 1�aimi
� WATER
V LU' ON
9. I tion and have read the "NOTICE:" provisions Included
I hereby certify and
I know
read and fo bel trused this
dacorect All provisions of laws end unhu:mces governing this
IM reverse side, ll kcow the same herein ur not. The granting of a pc,1.1 t0oos struc t presume
WIN give work will o violate
complied with whether specified, I 11 yon or
he
to give ponitco sllucdonor cancel the Provisions of any other state or local law regldatsn sem/
performance
DATE
CERTIFICATE
of EXEMPTION
DEPT.
Enr.Haelth
PMnnlna
Rka Men.
Co. Engles
ISrlRlae
Zona Clearance
SEPA Chaokllat
�a.
Source
Utpitla
SPECIAL APPROVALS RECD.
SIGNATURE e
SPECIAL COND
NS:
/ Op 111 L3Tu
�" _26.)
Atigh
14.1141141
Rec. Roo
FEES COLLECTED
Single f
Building
Plumbing
O
Mech. /2
Plan Check
SEPA
Mobile Home
Other /Specify/
TOTAL f �
WHEN MACHINE VALIDATED IN THIS SPAC
THIS BECOMES A PERMIT. gFA .17nn92
12-04-719
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
i2' 1p'? CA1-7q__001o- pfbS ' C'Pr _ n _of(- c- f YUt&atJ AI',
{ J2* 128-79