1980, 12-19 Permit: 80B-4372 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OP WORK
N S E W FINAL INSPECTION: / •� l 1
SET HACKS
DATE REMAlgtB:
/Q -{ice e.tea
imp ad ---az; 574 depaadi,e -AA)
/145V16lid 7e)
IAM NUMEER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE. WASHINGTON 90100 / (50M ESE -3975
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
ASS AODR11E1S1S
1. J IE>bi.Tic
2
OWNER
1 M MAW",
ADDRESS
E.
CONTRACTOR
w It.
• ADDRESS
D ESIGNER
6' ADORES.
d
9t�DIV�aeiON€1J
LEGAL DESCRIPTION - SEE ATTACHED
610DLSBE i
PHONE
q aa -C1 d14
PARCELNUMBER'S
FAIioUEW
LIP
4�iZose
Actual Sat Backs In FM
North (South {La IWaR
PHONE
51aa of Parcel 11010 Cla.I110Non
LIP
Taps Cons!.
D�mwna
Sminomme
Oy. ONO O RSgO.
PHONE
Valuation IB011dlne Area In 50. Ft.
LIP
ZNANOE or 4m FROM
ITO
Main Floor U
1 PO0, Floors Gomm Ar. Mo.
Ar. of DacMs FlnINa9 wmanl I in
Iln. MFanwnt
TYPE l NEW 0 ALT.
7. «
0 SLD. 0 et.ME.
WORN
O AWN. 0 RPL 0 NYE.
iMECN. 0 M.H. 0 POOL
0 OTHER
NO. natio I NO. 510,1. NO. Amino IND. of DwalOnos
rot Rso'd.
CERTIFICATE Rsw'tl.
of EXEMPTION
O OERNE WORK
Qr� OTE®u IS../4 6 Tbtl6
& LUIITIORI SOURCE I OAS ELECTRIC
9. UTILITIES
Boum. out.
Location (Ar.
WATER
SEWER
Owwr.IP
Public O Frlvat. 0
USE CODE
1 hereby certify that 1 have read and examined this application and have read the "NOTICF" provisions included
on reverse side, and know the same tu be true and c ect. All provisions of laws and ordinances gov Ing this
TOM of work will he complied with whether specified herein n, pot. The granting of a permit 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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
D ATE OF APPLICATION/ c - �d SII NATUHL t1I APP( ICA10,74/4
SPECIAL APPROVALS
NAME DATE
Pnr. H.Ith.........
SPECIAL CONDITIONS:
1.EE5 COLLECTED
Mngl $
Building
Numbing
Plan Check
EOA
Mobile Home
Omer ISp•cifvl
.ov
TOTAL $ '( •00
C4• •7.00
•7.00 E
•7008
R •000 8
1137.19
12-02-80