1980, 02-11 Permit: 80-858 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION: OK,
DATE
REMARKS:
Gc�ccK Tear ..A Y/E - roc / n(/ 1 b664
coaui,n C DK -_+
PLAN NUNIBLIT
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH eft JEFFERSON / SPOKANE, WASHINGTON 99360 / 16091 666-3616
APPLICANT. COMPLETE NUMBERED SPACES - PRESS I-IARD TO MAKE 4 COPIES
1 \C'Z L_orJA
SLACK SURNVIS/ON
2 // I / CS EEENI/�C
OWNER
3. RAV SFC:aN
ADDRESS
CONTRACTOR
4. -3 nrNC
ApDRESS
nClDESID
A(nnAw'
ADORE
'6
ANOE OP USE FRO
TYPE V NEW
'?vH WORK OLD.
Co R.g/N AO.D TO
G. R.E.eni o c.REs
424-1 a.
ZIP
olk
❑ ALT. 0 AO'N.
❑ PLMS. ❑ MECH. 0
PHONE
ZIP
0 MVE. ❑
❑ POOL O
LEGAL DESCRIPTION - SEE ATTACHED
PARCLL
MeER/e/gS.X.2 //.3
LO /I(3 t,/[I CoR/3/N ADD. re
Gx REENAAR.S—M4LN/FOLC HOMe5
Reauimd Set e74 5 Backs
North
Isout JO 'Occupa tEast 73 v Iwast 3
/ o 6 x /S'O 1 rll Q,r� it j11,4.0.1prmklered
Typ
3L•U61
OWL Area
BOSerrient Area
nye 4,N ❑ o
Reeeln4'Ds
.MMM Ane
SPIT[ Entry t snRt L•rel
o. Setns No. PI Dors
o/ o ms
Storage
Rancher
Rec. ROOM
CERTIFICATE
of EXEMPTION
Not Ra0'n.
DESCRIBE WORK
6 J,ATTAGN $'fo2Ac, `;441-0 TI, o 9*"" 4,K
9. y F, /O LuA '176
a
of ELECTRIC
wATEP
SEVVER
hereby cernty that V have read and examined this application and have reed the "NOTICE" provisions included
reverseon side, and know the same to be true and correct. All provisions of laws and ordinances governing this
typeof work wall he complied with whether specified herein or not. The granting of a penmt clues not presume
.:ulI, l ly
lo violate o, cancel the provisions of any other state or local law regulating construction or the
perlormunce Dot can�/ ulnen.
3'
DATE "!_— ... _
SPECIAL APPROVALS
DEPT. REO'D. REC D.
SIGNATURE
Ens. Beall
Plannl
Ire Marsnall
CO. Englnee
SPECIAL CONDITIONS:
T10— ,P1-44,4..
FEES COLLECTED
t R Va-5$.
GATE
•44,00
n 0O rn
•C400
0000'E
8449
f12 -04 -SO
,0 6479.