1980, 06-17 Permit: M80-5529 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
/
REMARKS:
IRAN NUM.ER- 1
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 77750 / /6OGI4503676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUKMER
. 7o' or
DESIGNER
6.
000606
CHANGE OP USE FRO
P ONE
jF 2eo 6
PHONE
21P
PHONE
SIP
A
7. OfP! 8 NEW ❑ALT. ❑ ADW. RPL. ❑ PAVE.
WORK 0 ELO. 0 @LME. $ MECN: 0 M.H. 0 POOL ❑ OTHER
VALVA
9.
WORK
Ym Conn
almflon
al n Floc
lt poor loo
tom CNmlllmllon
Sorinkimm
0 Ono 0 5.7.2
Bunning Arm In
No. Rooms
CERTIFICATE
of EXEMPTION
ELECTRIC WATER
I hereby certify that I have read and examinedtalsfaPplicallull and wad the Nr,, provisions included
type On reverwork se Side, and know the same to be true M • I Ali prove..inns of law. .0„1 .•„I,nonce, governing this
to give authority ll1� IOlate 1or uWith cancel tl o provisions
sionsf sed of enynothe. no,
I.... OrThe
loeel law 1•In 1I I,..,, I does not presume
performance of construction. SEE REVERSE SIDE FOR REGUIRED INSPECTIONS 'SII CO11nructlGn Or the
DATE OF APPLICAIIO.. 0(4300I11RE OF APPI.ILANT
SPECIAL AMR . V SPECIAL CONDITIONS:
' SEWER Gmn,
Public 0Prim. 0
USE CODE
NAME DATE
Ern Haan
0,10 ( to 136 Ivr .tie,' M
ijfr 4rANac1cA GF+IMOar' Po(A1c.5'14x,-9
No. of Dwelling
PEES COLLECTED
Singh
Building
Numbing
PINI Check
SEPA
Mobilo Hon,
Othn Itgs.cllY1
TOTAL
7.00
rvE VAI
PERMIT RUNUP
4•
17.00
•700 7
5528@
06-09—BO
@ 6E79.
A 1/ n IN .1116 SPACE.