1980, 10-14 Permit: 80B-443 Inspect I
IPLAN NURSER
7
- -1APPLICATION/PERMIT RMIT NUj,�'
SPOKANE COUNTY-BUILDING CODES DEPARTMENT M d"f y9
NOflTH ell JEFFERSON/POKANE,WASHINGTON 09pe0/IBW1.68-3e16
" APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
JOE ADORE. Oh+ .200
t. 1.3`42 4. Q .g, ,B�, 1-EGAL DESCRIPTION-SEE ATTACHED
Lar BLOC I UE VI510 PARCEL NUMBER/! •7.00
7 *7.OD tS
OWNER J� _ Zip /� /,
a S(i{JSYy. IUtEsa�CV/V. ✓I 1-1-0351 d7-025-�T u •no0 6
ADDR[B Zip_ ActualSer B Feet 44.2R 4 2 8
CONTR T "r"-"- 99a/4, North •0xLoth I.oM I .R
PHogc Sin of Party cuumut�on 09-1n-a0
•
•
4.
. 6479
A AE,g -_(• Ty.Conn. Occupancy Sprinkler.p
DESIGNER Lam' P9ao7 Valuation DY.. 0. .R.R . wwe...
PHONE Bullalna Ar..In Sq.Ft.•
a
E' ADDRESS ZIP Ma.Floor Upper Floor. Garage Area Storage
' CHANGE OP MC PROM TO Area of O.. Flnlmea Emu.tit urn..Easement ',f
•
TYPY NEW ❑PLT, AWN. ❑RPL. ❑MVS.
' 7. OP No.EMIR I Na,Angles II No.Room. �No.of Dwelling. '�'.
❑OTHER
wORK O m.o. O PLME, I�acne 0 M.H. 'a
.H. ❑POOL CERTIFICATE Ra . Ree a. Slot Runic r1
of EXEMPTION I ,
DESCg1EErQp}sq,`K'r• Enum.Dirt. Location(Areal
& _'"I R ��KE Ow... FEES COLLECTED /
VgLUATI gOUgCE AS ELE q WATER SEWER Owner USE CODE
g PuPrivate veer❑ Single S
• I hereby certify that I have read and examined this application and have read the"NOTICE"provisions included t
reverseon aide,end know the same to be true and correct All provisions of laws end ordinances governing this Bullalnp
typeofwork will be complied with whether specified herein or not.The granting of a permit does not presume (,'[
to glut authority to violate or cancel the provisions of any other state or local law regulating construction or the ✓ a "
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECT NS Plumbing /7/
DATE OF APPLICATION 9-/`-8o SIGNATURE OF APPLICANT Mech.
3.00 o
SPECIAL APPROVALS SPECIAL CONDITIONS[ 1 oo
NAME DATE Plan Check "h
Env.Health
Planning SEM
} Mermen Mobile Hama
C.Engine
erOther(tpeellyl
lit
I•, TOT.\L S /•./f
'�
ems.
INSPECTION RECORD \
G
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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