1980, 05-07 Permit: 80-3770 Inspect __ _
00
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK -
NSE W FINAL INSPECTION: l'('-5;2-
SET
-ZSET BACKS
DATE REMARKS: /
Z:4-,..7z. /; S
., Gc c�a� 714 ,4 74/..�/ �? P�
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PLAN NUMBER T APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT 374
• NORTH Sit JEFFERSON/SPOKANE,WASHINGTON 90200/1600)460.3016
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
IL SBA RL LEGAL DESCRIPTION-SEE ATTACHED
a !vLar .n.I PARCELrvUMSERR 36445 —011(0
a GwrvLM O' IIItFIfJ 78�r7
AT-16117 il U -�' r"'16ee; I es1
w.rMn PH� aT174)(r9y1Z �aPntm
4. ADORES! SIP Cond. °mum, oNo ❑R
DIesm.
DIONR • PHONE Minding�S. wOCRue • Ieours igsir tor
vani
.
CHANGE OF USE PROM ITO 1EP . n .emenient
TYPE 0 NEW ❑ALT. ErwO'N. 0 APL. ❑PAVE.
No.Bothe I No.elenu e.Rom. �No.of Dwellings
�• pF
0 OTHER
WORN FElo. 0 NAM O MECH. O M.N. ]POOLCERTIFICATE Am'e. I Aec d. lot n.R'0.
.(�,(��/�,'.�F1,14F/.a1" of EXEMPTION
& DEfCRIEE WORK
fir*.
p y ILirE P+'1✓r C 1 Lnvm.pl.,. �Lemtlon(Ar")
/ FEEL COLLECTED
VAL N SOUAC[ GAa RIC /'yam/ ownerRilO J USE COOS
6. X.,15.1 `w Public ID Crenate a Elrgb S—
I
I hereby certify that I have read and examined this application and have read the"NOTICE"provisions included reverse m �r
on side,and know the sae to be true and COMO.All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not,The granting of a permit does not presume Bi1MIro
to Live authority to violate or cancel the provisions of any other stale or local law regulating constuction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /// numbing
Dr,rF OF APPLICATION /`// — f 0 SIGNATURE OF APPLICANT.J� �Y Meth.
SPECIAL APPROVALS SPECIAL CONE/1E10NS:
NAME OATS Pim Check
SEPA
Mobile Home / -2/
JI/
1 f/�
."Fn-ee• — , OtherlSPecifvi H/2`/
TOTAL S
WHEN MACHINE Ails SPACE.