1980, 06-12 Permit: 80-5454 Inspect 7
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
TYPE OF rat; /
N S E W FINAL INSPECTION:
SET BACKS
REMARKS:
DATE /C-7
•
-P
"�� APPLICATION/PERMIT PERMIT NUMMI
i R ^ e ��` SPOKANE COUNTY—BUILDING CODES DEPARTMENT ®�1���-T,�
1 Z.J NORTH LII JEFFERSON/SPOKANE,WASHINGTON 30200/MEI4116.311111
APPLICANT, COMPLETE NUMBERED-SPACESY PRESS HARD TO MAKE 3 COPIES ',
DRESS
E t' LOT AD G&W-12 Cu�iorvlErDiJ"��W Pi0.� �� R %LEGAL DESCRIPTION—SEE ATTACHED C u• •T,0 0 it;
ARCEL NUM3LR/3
i z, 5 ' •700M
OWNER PNDf me Actual Sat E eM a •a o o e
a 05002 'P.Yowm FAN 4zz-Ot�S 54534
N. it
'Z60S WooPWAeto 44z14, n e Spurn Un
AONTRACTOR PHONE sl::or Parcel Sacks
Zone cl.umulm3 06-0380
' E, DnMA 4 6479 •'
C. CAS ZIP ZIP PHONE r Main
Forel. '1iuWnq ON v.. 9o. .o d ` ,
r•1 L Ores am 0 F _
DESIGNERea m sP.Ft.
6l E'
ADDRESS e n loon JJII pet Ploore Garage Arm Storage A
CHANGE OP USE PROM TO ANo.ea of Bath.DmbUp PIn)W.d moment
nOee Uniln.Nmm.nt f
Q I No.Verlag r INa.of 005111nm
T fpC SNEW 0 ALT. 0 ADCs. 0 RPL. 0 MVE. OTHER
I I l •
r T oro Rrc 0• ❑PLOD' 0 M M.H. ❑Soca 0 O CERTIFICATE r Rp'd. I Recd. plot Rao'd.
F( of EXEMPTION
oEa<Ala[WORN Enum.Diet. """an
IArml FEES COLLECTED ,
8' 4RN1 Q $ UG N,
V ION SOU�CCf�IIf am CLECTgIC WATfR SEP/ER pwmrMlp Er CODE
i Q U TILITIE.1 I Public Ohlram H 01051. $
I hereby certify that I hese reed and eoemined this application and have read the'NOTICE.'provisions Included
on reveres Ude, d know them a to be true en4 correct.All provisions of lows and ordinances governing this T',.fl',
type of work will be complied with whether spec fled herein or not.The granting of a permit does not presume Sussing
to give authority to violets or cancel the provisions of any other state or local law regulating construction or the f,'`
!' peffONMftc•of construction.SEE REVERSE✓SIDE FOR REQUIRED INSPECTIONS
Plumbing y a=�' i
DATE OF APPLICATIO DATE
FF /7i'a SIGNATURE OF APPLICANT jc/o. w_ Min. -, .00
SPECIAL AMIE ALS SPECIAL CONDITIONS: i
,.
MN.Healrl /1 Pim
k 1
Mannino SOPA
`e Mlle Merrell McDll.IfNM
Mo.NSMmr
Other IEpilhl ..t
Utltllli „..":4..;,..,
"
�4
TOTAL S.222_,
WHEN MACHINE VALIDATED IN T.* -....---,o,----'—'''''3EPA CE..uI41 I 1
THI
.E[COMES A PERMIT
it
aL
"r'O
I ,SWrir ec.nis4n PERMIT IS NONTRANSFERABLE Q 15'^05-m0 5 4'5.4 9' RA,�'C.g
•
G