1980, 06-13 Permit: 79-9242 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
Q4,..;tcto ok
1
NVIVierert
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 1311 JEFFERSON / SPOKANE. wASHINDTON'992e0 / ISOM MSS -ME
APPLICANT: COMPLETE NUMBERED SPACES – PRESS HARD TO MAKE 4 COPIES
5 SJ.ZOD2Z E4
Iv s V6/Aloc
C 1 .DA.A2Md
Fernee✓
421366.1
2 }T yY
a KZ l lE T PeiusSo/J
r 1
DD ESS
3 c& -w,/ RD. Vcy''ADACE
LEGAL DESCRIPTION – SEE ATTACHED
7037
` OFE' %y,,I, 1� (R, .:t Hfllfi�J
5
CeTr Rrn IL 49
PHONE
PARCEL NUMBERM
Repulrm Set Backs In Fat IWe
st
Sim E
of Parcel 'South Zotne Classification
ZIP
PHONE
Tape Const.
Occupancy SPHnkierm
Dye. ❑No 0 Amt .
Valuation 10WlaingArea In Sq. Ft.
6' ADDRESS c
ZIP
OWL Arm
SM.m•nt Arm 1 0.1.0 Arm
Stena.
CHANGE OF USE FROM
To
TYPE
7. OP
WORK
0 NEL 0 ALT. ItAO'N. 0 RPL. 0 MVI.
❑ OTHER
❑ ELD.0 0 PLME. 0 SPECK D M.H. 0 POOL
BPIR Entry
50111 Laval
Rancher
No. Bath. I No. Floor. No. Room. I RM. Room
Ro'd. (Not R•ted.
CERTIFICATE
I EXEMPTION
Rood.
D CRIBS WORN
a �oav;- tai ounce N6 GH/HAELEC
' 11 11LL I I OAS ELECTRIC
sJA/AOoA U- ,,pi UHIItH.
WATER
SEWER
I hereby certify that I have read and examined this application and have read the "NO fI(;E" provisions included
reverseon side, and know the same to be true and correct. All provisions of laws and m
nlHances governing this
type of work will be complied with whether specified herein or not. The granting of a penuit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
DATE Z3/jy__ SIGNATURE 0 4__L t 045 t
SPECIAL APPROVALS SPECIAL CONDITIONS:
Env. Health
Planning
Fire Marshall
Co. Enginar
20n.0e.4oca _._71
SEPA Checklist
FEES COLLECTED
Single S
Building
Plumbing
Meeh.
Plan Check
SEPA
Mobile Hare
Other (Specify) Tj
TOTAL S 1.
4V174"1" -"4-.4R
DATE – !
OE• *700
•7.00 K
•7008
E +400 E
92418
1218'-7.9
6479
WHEN MACHINE VALIDATED is THIS SPAER. — -.
THIS BECOMES A PERMIT
12 18-79' 9242° E.00a