1980, 12-22 Permit: 80B-5122 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH els JEFFERSON / sPoftANE, WASHINGTON 99260 J 1609/ 466.3e16
PERMIT NUMB
Sop -4IzZ
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOE ADDRESS
`i3
—7TH
IfEePNI
ESS
OWNER
3,
1-1AC AG Pat
SmtTH
—7TH
Gertz RAZ, on
ALMA +I6ATeADDRESS
PO
t EDESIONER.
6.
%%"1"
CHANGE OF UM PROM
Q
TYPE
OF
won,, D ELcr. 0 PLME. [CH. 0 M.N. 0 POOL
PHONE
ZIP
TO
0 ALT. 0 ADM. 0 RPL. CI we.
0 OTHER
O[,CRIe[ WOR
8
P. P.
SOURCE
DT UTltS
ELECTRIC
WATER
615w
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
Pe CO st
ORcuPmry
[err Classification
SHIMINrm
Dyer ONO 0 Rope.
VAIUMIOlt
ern Flow
Popes FHors
Are. of Clocks
N.. ales
EulMlna Ana In SR. Ft.
No. eta.
CERTIFICATE
of EXEMPTION
[nun. 0161.
Un11n. [ammml
No Rooms
Md o Owsl es
L.allon 1Aral
Public 0 PHMt.0
1 heWby celhty that I hem read and a Red this a(ilica4on and nate read the
pee.
on IVII•124
ee. mW know some X I.• Mid All I r,l I
type of work will d compiled with whether specified here The ley,
r
tO eim authority to Violate Or canon' IL,r• IUrw1Unns O1 Orly 1rlhrn '.1dc nl meal law
p.dormance of [onumchpn. SEE REVERSEj SIDE FOR REQUIRED INSPECT ONS )
001, 01 Al'I•I.ICATIIIN. �— / �.:s..�.._ SIIIwATUAI 111 APPLICAN
SPECIAL APPROVALS SPECIAL OONOITIOMI
NAM[ DATE
Sm. HMlln IIs rw 20s
e ERR.«I Oleo
ernoterrolizr
TSE COOL
.r mons Included
n the
I,re Oat n r
.liar slllhk.
IMP
PEES COLLECTED
sire
eulerre
PIIERaro �{
Plan Check
SEM
Mob1I. Hem.
Otho (Spec frl
TOTAL S
.1200 K
• 12008
*000 8
A 1213
12-22-80
q 6479