1980, 09-08 Permit: 80-4785 Inspect-,,;7:;;;2/
NORTH 61 JEFFERSON i SPOKANE, WASHINGTON 99260 / 1609)466-36,6
.II'Pl-ICAN1 EIIML'I F1 F NUMBERED PAC I/S PRESS HARD 10 MAKE 3 COPIES
►' t. N 290/ TILOLIC SU ..are - L T('D %/ i j 7 e
` I •.2. /0 2. &Wel-.2,7- EsrgrEs
PHONE
/449 416'.
Own
ER
3. 4/124/ /-ADDRESS
S
N 290/
-YL .PA.
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4• Ess
B /a E2U 9�2.g6/li t4.e,vioze
LEGAL DESCRIPTION — SEE ATTACHED
PY giV.3";17 dc's.S1 —O IOC/
DD.OA11WA.r.A ,r. ;r.4 rE..
9902.7
ortea'o uln Backs 27 East 30 IW... SZ
a
929-7/7/
sl., of Parcel9D/ 130�r=i'cClassification
l Ian. h
99037
PHONE
-1,0a Const
❑v.s onto El Ran.d.
Valuation
Bonging Area in So Ft
/414-6
P. 'DRESS
CHANGE of USE FROM
To
ZIP
TYPE NEW 0
7' OF ❑ BLD. ❑
BORN
LT. ❑ ADrv. ❑ RPL. 0 MVE.
PLMe. 0 MECH. le M.H. 0 POOL
❑ OTHER
Upper Floors 1 Gara0 Area
Storage
Arm .r Dacus el/Finish. basement OBeL�N . Rooms No. fBasementDwellings
G.gs
No. Baths Stories2.
CERTIFICATE
01 EXEMPTION
DESCRIBE WORK
A,NFNOI5
cog
E9
I hereby eel Lily Ih9l ., •aII
on reverse edge, bol knot., 1II,• 1
type of work will be F Inhnll
to 9100 aIllNnnty i ,
performance 01 rn•Lm,, 11I
Mgrk- x sz)ATER
ECTRIC
Location 1Area1
SEwE
OwnerShiP
DP t.
U5E CODE
am, , i�l the. a1.nIlr.ItA and II,
1) r All nI
Ilth
,TIE. ILn, 1 ann l coots
O 1 Tim ,1
of any other state to 101.1
SEE REVERSE SIDE FOR REQUIRED INSPEI 9
OATS OE APPLICATION
SPECIAL APPROVALS
NAME DATE
'NII 1 ILL" oomoInII. In1'Iu1uH
sod OId1n„nr, yn/1,111nn III Is
I poi ont ,Inns no, nlesulne
,I'gHl.Inn9 IIy1111C111,11 Or the
INNS
SIGNATURE. OF APPLILAIII \1
SPECIAL CONDITIONS.
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
SI 01
Building
Plumbing
Mach.
Plan Cheek
SEPA
Mobile Hgma /e0
009, (SPeelly,
S /44`II
TOTAL
• 10000
•10000
• 100009
A *000
97840
09-08-80
2 6479.
WHEN MACHINE vAL IOATED IN THIS SPACE,
THIS BECOMES A PERMIT.
191.410f:'Bib
9 .7 iM -4PrOlrar
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
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