1980, 08-20 Permit: 80-5366 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION: T
DATE
REMARKS:
way., y,4 -,:,„t - as �h� �r�r ct>�.lCl�,�,1
/24-)
„M,'�/ (rlvy�lts (.� ti1/ Iry t^P s-perx ad-)
�V" (z / Aa�3f1- ✓ ! i,J
v
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99980 / (800) 468-3078
APPLICANT
JOB A. , �1 �P�q T� C
—. 3ub1TIcLIDlr lI("T( Y. • (qIJ
11 ea �LL�Q/Na 11Y,
a OWNS M° QA 1fl
ADDRESS
r . r\src-H ctclaiGk
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
2,14 "OHM
IP
70501.1 NUMBER/5 IoSc'Jal`%�.
)�T.0lO E .'C. LV.'jd' 287H <YPE
•'ta!�/crF I-ac+111 Ba.cuc."a(OLL7E Tj
cj1AR .
Actual S.1 0.00 In Feel y, E5,1-t-.�_�c'.I
l �Soush
f".1 art o IW.51
CONTnTOR
ADDIS.4•Vb,JE
PHONE
SPR/Y1.F.
I Zone cbRSluupn
(4
g!D/Yp
conn. f
Type upanm' Ao•..a;—S0040o,
inklr.d
0Y., 01No 0 R.R'e.
6.
PHONE
YDion
c_
Building Area In SAIL
[p
ADDRESS
a
TYPE
7. OF
WORK
0
TO
0 ALT. W AWN. 0 RPL. 0 SIVE. 0 OTHER
Bi 8L0. 0 PLME. 0 IOkC, 0 M.M. 0 POOL
n Flom
Dad
PP- FIPpr. 1 0.nee Ary 1 Smr...
min, B.a0
CERTIFICATE
et EXEMPTION
B8SSCRie[ WORK
W
NOL[ OAS ELECTRIC A
. DNI. !Location (Am)
[R
T
9. UTILI/TINS
NEWER
Ownership
Public 00,13.1. 0
USE COO[
1 hereby certify that I have read 1,111r rut led 011121111110000n .I n.1ve lead the ' () i I11/ pruvlliOns Included
on reverse side, and know the same to he true r Al' it sof law. �d • J'hues governing this
type of work will be compiled with w .0, ��.1 he, eon n ,l 107 grantin9 nor rn,t does not presume
to give authority (0 violate n cel the mr'v' 'inn.icy ,nhrl or local low •,, construction
nstruction
pertormance of constr cnnn SEE REVERSE SIDE FOR REQUIRED 1':CTIa11
0010000PPL1001.„N4-Ju�- a^ /11,10 Ir 11 �, g'�rl)
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
E V H
IZIAR10F'L3 OP F EWE\l by 2pQYv,
CSC, 12..6501 L7ENe-E
C I( l2nt10AD hA`7@ O`er
C' )3,AT%- Pea/ nr—'I,IoTE•$1 19 o
CA rYs-E. dNJ CS -NAT ORcE
PEES COLLECTED
Singl S
Sulltlinp
Plumbing
Mac
Plan Check
SEPA
Mobil. Home
Other (Specify)
TOTAL $ 4000
*PERM ITNU
4441
•
C2• •1p00
•10'00 K
.1,3808
E •100 s
5365=
06-04-80
o 6479