1980, 11-25 Permit: 80-9575 InspectFOWNER
•
CONTRACTOR
NSE W
SET BACKS
INSPECTION RECORD
LOCATION
TYPE OF WORK
FINAL INSPECTION: -
DATE REMARKS:
(RAN NUM•ER
Ic
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
l'INI=T""".....
NORTH NI JEFFERSON ! SPOKANE, NA0IIINOTON W300 1 15001 060 00@
APPLICANT, COMPLETE NUMBERED SPACES — PRESS BARD TO MAKE 3 COPIES
�y y�J2P� r t_. �% LEGAL DESCRIPTION — SEE ATTACHED
101 OLUCK SVEOIV@ION �
PARCEL NVMIEA/S
E
as —/074
0000510 Qr� /A/ea) Z199aob WIC. S.000)IS.PM IW.
� :; " cN..nlr.uenn
CANT ' su r s..al Ion.
45
,�%% ��JJ�-` yip_ 01 '� .F. Con,.. I O¢uMnq iPnnwO
.,l'prrf sdh iIOAQJ E7J�/F] ❑YEI ON0 ❑ Rp'6
DOICNER PHONE VElwllon Sulwln. weM M 60. Fl.
4.
`' ADOROS ~ IIP M.In Flom 0004, Floor. .r.M Area .Imp.
CN.11gE OP INC FROM
TO /U.• 01 0.11). Flnenp 1 unlln. 0.Wm.nl
TY!{ LAWN. Na 0010, I No. Wool. 1 Nw ROOTS INC. of DOW.,
0 NEW 0 ALT. y AO'N. 0 RR. 0 MVE. 0 OTHER IJI
�' OF ❑ RI.0. 0 PIJA. •CN. 0 M.H. ❑roof CERTIPICATE R•e'i 01.00. 0o( 0.00
WORR of EXEMPTION
OHCRIEE WORN
a
Enum. 0111. 4.00.41.0 I
VAIUATIoNJI SORCE UO - E+ CTRIC WATER SEWER owns,,, lCOOS
9. fur lulu K 500110 CIMI4l017
1 hmby e..tlly )h1) 1 Prep tend and 10am1,1.0) 110, ep0llUehlnl Ohl' lion, teed 1110 "011)110E" 111(00100 IIICIuded
On 10001N 1100. 01111 know the same 10 be true and 001001 A1I ',torten/tut of law. uol UldnMnol( 500010nlp ih11
type of work will be complied with wheOwl .peOHied harm. ,....,. I hu 0rentnlq 1,1 p (1.1,111 d0.1 not primula
ilto era authority 10 01011)0 Or CIIne.I 1110 prow.,On. 01 of, 111111,, •' ,In O. 1000) 10e x0101101100 c01O1r1clIOn or the
pMfnryww. et 05INiru0tlon. SEE REVERSE BIDE FOR REQUIRED INBPE S
0017E OF APPLICATION IL 4' 90 SPINA TURF UI'' A1,1'1.1CAN
NCIAL APMIOVALE V'CIAL CONDIT101011t
NAME OAT•
WERo. NMIVI :11
mance
FEES COLLECTED
Moe. 3,6°
PI. Check
'EPA
Mebne
06110 *MIN
=457'5
LI • •9.00
•900
•9.00
•800 8
957u4
09-04—S0
r 6479.
TOTAL $ QOO