1980, 07-15 Permit: 80-6958 InspectINSPECTION RECORD'
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
FAW-141*3
6
PLANN ERMINUM!!R
, YMB I APPLICATION/PERMIT T
.QSPOKANE COUNTY —BUILDING CODES DEPARTMENT
NORTHB" JEFFERSON / SPOKANE, WASHINGTON 99260 / 15001465-3615 I
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
- (! R -.7-00
JOB ADDRESS
P / LEGAL DESCRIPTION — SEE ATTACHED *700 B
ARL LNDM6ER/S .7.001S
2
NER PHONE E *Goo g
S' 2IP Acm.I s.t ""C'
.DNa In F«e 6 9 S 7 A
CONT ACTOR col Parcae --R' 1.1— 07-11-80
1 '? 15479.
4. q vD. Com[.11d—cI SDnnN1.IeD
E ❑Y.a ON. O R...a. e.
DESI NER ONEValuation Bu1101np A,— S0. Ft.
TYPE N[W ❑ ALT. AD -N. O APL. ❑ MVE, nD. P.rn. — enol.
rip. npoma
.AI
'• ..❑�.((
13 [LD, ❑ PLME, fel M[CN, ❑ M.N, ❑POOL OTNIR CERTIFICATE
WORN
of EXEMPTION
D C ORN [num. Dat. 1 1-1-
FEE8 COLLECTED
10 SOURCE GAS !LlCTRIC WATER SEWER NNIp USE CODE
8. Un°i*les nID ❑PrIVM. ❑
Sirpl. f
I hereby certify that 1 have read and examined this application and have read the "NOTICE" provisions Included
on re a side, and know the same to be true and correct. All provlvons of laws and ordinances governing this
Type ofr work will be c mplied with whether specified herein u t, The granting of a permit does not presume
B011dinp
to glue 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 REOUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mnlh.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Chack
SEPA
Mobile Nome
'
Env. Hearin
p
Oth.r ISPecify)
Py O,semO
TOTAL S %
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