1980, 07-23 Permit: 80-6960 InspectINSPECTION RECORD
OWNER
&OCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
'.Z.3 -to 614 hem eiprersr
c
PLAN NUI4SER'�
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 81I JEFFERSON / SPOKANE, WASHINGTON 99260 / (5091266-36 6
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
oe A;pDREs;;;s�
LOT PARK DfZ .
2. ONNER
BOTH Cos$sr. co.
DRESS
e �Qia�
FeeeEr � e.
CONTRACTOR
4. 11114-1 He.Arn A/R/vaJ7�. LAIC
IVEJLE
DEEI ER
6. ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
-90/L
99PodNorth
< ml SN Backs In Fal
Sootb
X957/
SIM of Partin
Zone Cluslllatl oo t
'9,P
PHONE
caPancr
SPdnklomo
Ov.a 0No O 6.9'a
n9 Ara In So. M.
!IP
a Flo.
099.4 Moors
Aram Ara.
(bran
CHANGE OF USE FRO
6.
O
Ara of ®Aam.nt
Unlln. Mar .tit
7. OPPE )(NEW 0 ALT. 0 AWN. ❑ RPL 0 MVS. OTNIR
WORK 0 SLD, 0 PLM(. g MECH. 0 M.N. 0 POOL
o. Stories
No. Rooms No. of 00.11/na
& 1 ECRIE( WORKFNR ACF
VPLN"OLNJ�IS.OURCE (V OA9 4
9. IuTI °irlesl
?LI!'IC leK
ELECTRIC I WAT(q
CERTIFICATE
of EXEMPTION
(num. DIAL Location (Ara)
Plot Ra'tl.
SEWER OWn.rsnio UE( COO9
XX Public 0 Wlwl. 0
I hereby certify that I have read and examined this application and have read the "NOTICE" Irrovisions Included
reverseOft I(
side, and know the same to be true and correct. All provisions of laws 000 r.finances governing this
type ofwork will be complied with whether specified herein o not. The granting or .. 1.ermll does not presume
to give authority to violate or cancel the provisions of any other state or local law row,' •.ci construction or the
. performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
PN nn Ing
SPECIAL CONDITIONS:
FEES COLLECTED
81 91 $
[inkling
Plumbing
Mao
Plan Chock
SEPA
Mobile Home
Other (Specify/
TOTAL $ Py .DO
PERMIT NUMBER
M-eiffNaQa7
O8• «7.00
.700
•7.0015
P *GOO 8
69598
0711-80
8 6479,