1980, 09-29 Permit: 80B-711 InspectINLa.N Nub/Min
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 511 JEPFERSON / SPOKANE, WASHINGTON 39250 / (5091 4563615
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
ADDRESS y/
N. 1507 Ilia MO) Y '
I 1 CLUCK ISUEUIVISION.
LEGAL DESCRIPTION - SEE ATTACHED
2. 1
OVINE
3
ADOROf
JOHN AM=
ONE
914-1156
PARCEL NUMEER/S
Sum
ZIP
99206North
Actual Sot Back. k. FON
South10911
10300
CONTRACTOR
80IT EASR SIM= CO.
4. ADDRESS, -
=- /. 75 rh14d Aro.
156-9050
SO. a P.r0.1 I zoo. Claumralon
99107
TyPa Conti.
OPcoom
SPrinkl.rad
Go.s Ono 0 FINN.
DESIGNER
1.6'. ADDRESS
PHONE
valu.don (BulbNee Aro. 0 50. Fi.
ZIA
NINA Flow
Ucea Floor. 1 GONNA,.
SterNe
CHANGE OE USE PROM
6.
TO
Araa of back.
Flnlaad Bawls.
Unlln. Baum.nt
}N,iTVPE 0 NEW t 0 ALT. 0 AO'N. 0 RPL. 0 0014.
4W' DRk S
'13 LD. je ELME. 0 MECH. 0 M.K. 0 POOL
" b1CA*DK WORN
& MATP& SQ TEEER
VALUATION
9.
5OUOI;CE
OTIUTIE0
GAS
ELECTR)C
WATER
0 OTHER
No. Bata. I No. Slala. 1 No. Roam.
Rodd. rot Polio
No. of °wining,
CERTIFICATE
of EXEMPTION
RO0'd.
Enum. 010.
Location (Ara.)
SEWER
°WINNOW
Pubnc 0 NIN O. 0
USE CODE
I hereby certify that I have reed and examined this application and have read thy "NOTICE' provisions Included
On reverse aide, and know the same o be true and collect, All 111001slons of laws and mdmam:es governing this
type of work will be compiled with whether specified herein a nut. The granting 01 a permlt does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
parformence of oonstruction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
' DATE OF APPLICATION 903/00 SIGNATURO 01- APPLICANT
SPECIAL APPROVALS
NAME OATS
SPECIAL CONDITIONS:
FIFES COLLECTED
Dome S
Building
Plumbing 3.00
Mach,
Plan Check
SEPA
Mobil* Homo
Other 15oAIYI
3.00
TOTAL S
pens4T NUM66R .
$oH-71/,
US•*3.it0
•300
«300
A •000
7009
09=23,8;0,
8
6 47 0
wHFN Mnl'l tlNF 00111 ^ (COIN 111110P110E
J
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
Q
-02?