1980, 07-16 Permit: 80-6970 Inspect T
.
.x NUMBERAPPLICATIBN/PERMIT `" p PERMIT DUMMER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT 6.97o �•I
' NORTH et JEFFERSON/SPOKANE,WASHINGTON eage0/MOW/60.36]6 e T
+' DATE
OB ADDRESS APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES 1.YV.P.O . ° i LEGAL DESCRIPTION—SEE ATTACHED '2800 fri
a
2. •28008
///BNy � /JUG//H irgNr!'-.."... F •000 8
a ADDRESS / L �� RP Bat:FM
60,0 G
.E6/.sz.� a gym_ a o 6 Na'^r.n s.t
C NTRACTO9 l PHONE Size 9r ParcelEgosEgos Classification" u7-11-80
4. G,4.B7R- -i^M� 2 6479.
lir "ie� AY, ‘7Ela.o�
Type�9n.t. D 99.n<y ❑y., ONoyN0Re9'a.
DESIGNER NOG'.4c�V.w,U9n Bvu6MS Aro 1n SG.Ft.
6. ADDRESS Zip OWL Aro 'Basement Area Garage Aro
CHANGE OF USE PROM ITO Spilt Entry I Split will I Rancher
e.
TYPE 0 ALT. 0 AO'N. 0 RPL. 0 MVE. No.Baine No.Floors Na,Room. Rec.Room
], OF KNEW 0 OTHER o
w0 cola❑OLD. �PLMB. 0 MESH; 0 M.N. 0 POOL CERTIPICATE Reg'a, Recd. rot Rosea.
9f EXEMPTION
DESRK
& W/b /4./t'f,cgrs FEES COLLECTED
VALUATION I Source OAS ELECTRIC WATER SEWER
0. I ml.. Single 3
I hereby Certify that I have read and examined this applicah u,.and ha,;.end the"NOI A.'. ,lulled
on reverse side,and know the same to he true and comet, n i orIi iii of laws and „ es loveiom1 dns Buade9
type of work will be complied with whether specified heleni ,, gianUnll a does n d Inesume
to give authority tato late or cancel the provisions of any other n,Inc law roolnat,r1 construction or the
DATE
performance ✓ /�� _ plumbinS rOC
DATE rE[ T Si 5i[iNn TORE _ ( Meth,
SPECIAL APPROVALS SPECIAL CONDI S.
DEPT. REG'D. RECO. Plan Chock
Env.Hamm
Ptaanlnere
SEPA
P IM M/Nnal Mobilo Home
Co lowbrow Other lSeeaHyl
`. ______l TOTAL $ e).Ov
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS: /
eZ<ZQ__. _ /7