1980, 12-10 Permit: 80B-4654 Inspectii
PLAN NUMEER•♦•:k
14 '41
/ R/ 9/10
SPOKANE .GOUNTY"=.UIL�1Nyrr�xe a .EPARTME
NORTH it `SON / SPOKANE, WASHINGTON 99260 / 16091.6&5615
APPLICANT, COMPLETE NUMBEREF SPACES - PRESS 11011:1) (0 MAKE 3 COPIES
1088 ADDRESS
34ua SUED
BLOCK
2
I
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
924-.SVy
DRESS
p/q��TRACTOORR
Ril2E+E.Cr
DESIGNER
6' ADDRESS
ZIP
99 -Zed.
PARE, N MBERrseV...1730 -
33,T(3,3 £XC- N• NG
ORCr//ARO AV .90 /T/ON
Actual Set BAC. In me•
North (Spu
10.
PHONE
ZIP
PHONE
i
ZIP
S/iva of
7arn. /G
Zone Classification
+OY.. Ono ❑ R.a
O y e L /I 9 Aru In
NN. Ft.
Me 0
/ B9Uml ECK
CHANGE OR USE FROM
STD
.. (Gam.O 0 �o VOR
D�npp
Area of 0.11{
Finish. easement
untin. Ba
TYPE 0 NEW 0 ALT. 0 AOW. 0 RPL. 0 ',AVE.
), OF 0 BLD. 0 PLIAS 0 MEC ❑ M.N. 0 POOL
WORN I n
DESDRIBE WORK O.sNAOOY
VALIJATI
SOURCE
H..Zp (J TIIFIES
OAS
ECTR» I WATER
ql OTHER
Ns/Stories No.o lms"2 prDerePlnes
•a'tL0 .t R.0.0.
CERTIFICATE
of EXEMPTION
Enum, Dia.
'EWER
Ownersh p
Public C.119100.
Location IA1.1
USE COOS
hereby ceI lily that I have react and exJI•r nerl Ibis 0111111;a lion eml hove 10e1 nam "1.101 i II 1 r ions 1rlchtoerl
On ieverse
side, 0110 know 010 same to be true 3111) , beet. All provision. of laws .n .1r �. . governing this
type of work will be c Inplle/. with whether spec111011 (111e1n oi not. The granting o,l plesulne
to give authority to violate or cancel the provisions in other %tate loc. law reu d..n„. .,.1r,llnehnrr o1 ;he
Performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS �7
DATE or APPLICA N— --- Nnr.,rtt 01 OPrt.ICANI g'I'�N.c r 0..,rd'ilii
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Vry c (/WI
sld.t -
PEES COLLECTED
SI 91 S
Bulidin9 38�
Plumbing
Plan Check
SIM
Mobil. horn.
INII.ESr. 0hG /
Omar IBp.city)
.,q
PERMIT NUMBER -
8da 466-7-
1
7600
.7000 �]
• 76007`.Nej
.000
I ; -00-80
. 6479