1979, 12-18 Permit: 79-9188 InspectLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON f esou ANF` WASHINGTON 99200 110001 gen 0075
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
LEGAL DESCRIPTION —SEE ATTACHED
PARCEL N0m0EnIs
1, �sbm�
s 01 .I...; ISUNOIOIb A 11 H
PHONE
oiNNEll
3. Q SE
T
/ T r R U-1 - 7148
ADO ESS ZIP
Renewed S.• . In Fwl
CONTRAICTOR.1Qioo1
bS44
PHONE North
Size of Parcel 0001
EZOn. CI.RRut
llen
A a 1,--1 VP' AT 1w1 a trJv iam0)k14D9R
,• ADDRESS ZIP T.P. Comm. I °mown ^^
7qhD -I PQ -srL111F1(p fl Iaor) ❑e. ❑NoO
Rei
ra.
DESIGNER PHONE .luellon Bonding lo Fa. Ft.
sl
CHANGE OF slech .0 SP It tr Sol l ova Rencher
DESCRIBE WORSE.
I hereby certily that I have read and examined this application and have read the "NOIICE' k110V1110112 included
on leverse side, and know the same to be true and correct. All provisions of laws and oidinences governing this
, type of work will be complied with whether specified herein or uot. The granting of a pornit does not presume
tO give authority to violate or cancel the provisions of any uther state o local law reau a nu construction or the
40t—
DATE
CERTIFICATE
of EXEMPTION
pet form05ce of Construction.
DEPT.
SPECIAL APPROVALS
REQ.°. RECD.
Env. Heenn
%011111110
rim Marshall
Co. Enelrimr
Utilities
Zone Cf
SPECIAL CONDITIONS:
/ at /12 Brc.L
ATF Iz-I779OFF I IAL' 1 *664 a:L
511191 S
Building
Plumbing
Mech. /Li Of)
Plan Check
SEPA
Mobile Noma
Diner (Specify
G
PERMIT NII M��
71-9/56
$•16•?9
p11•
•1200 B
*12OO
E •000
91fl7�
12`17179.
61279.
TOTAL
WHEN MACHINE VALIOA ISO IN rHIS SPACE.
THIS BECOMES A PERAII
Ig -17279 118.eg *12Oaei
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
z-i� �9 CSI - Qcess` fi f;htei OE. 14-
I-- e-- F GP,otartotb tedket lorc .aO(i4 else affect df