1980, 10-08 Permit: 80B-1645 Inspect IP
APPLICATION/PERMIT
'eLe11eNUMRlE 1 PE gMIT NUMHR "4-5 + � .
" SPOKANE COUNTY—BUILDING CODES DEPARTMENT h NLS' – �6
ORTN 811 JEFFERSON/SPOKANE,0000INOTON 99260/I60P1 ae60070
APPLICANT COMPLETE NUMBER LU SPACES PRESS HARD TO MAKE 3 COPIES
!!! JOB ADDRESS 1 •7 0 0 1
12. Cu 1J0 '� '`.�1�. LEGAL DESCRIPTION–SEE ATTACHED .7.00
LOT BLOCK [OBOIVISION MBER/s
2 •7005
vAnCEL NV I�VtnE•❑An ��l•R .
�o0NER vHonc
•000 Br&._ -nn--„.� -
ADDRESS ZIP IbuLL 33D I U LQ. 6n5.2— .
CONTRACTOR Renec.wnree10–OB-80
ADDR– 61.2A.Y– ct....o .C--.31 . 7–- 2S2 6¢79L Tvocona oa. n. opokoaFI• R 30 t 3_ne.At 4VZoCQ
DESIGNED PHONE V.I�ano,. B911e1n9 Arn In 59.Ft.o
g' ADDRESS ZIPa. Maln Floor Uppx floors Oere9e Arx I Snnoa
CHANGE OP VRE FROM ITD Arw el 0350. F nlM.a Owmmt Unlln.Bewment I r;
TVPf' No.B.M. I No.Slate. No.Room. of Dwell ne.
�NIW ❑ALT. ❑AD'N, ❑RPL. ❑MVE.
). or
❑OTNEA J �o Y
ORK ❑BLD, Q PLME, eq MECH. LIM.H. 0POOL CERTIFICATE INN'S.Rp'c aec n. �vot Rw'0.
of EXEMPTION I i
bEECRIE T[i,"-IJa�eI9p.�.Ak�..l, [num.D a. l"IAre.1 FEES COLLECTED S
VAL I soGAR ELECTRIC WA SEWER
B GAR Dw op, WE CODE
9. UTILITI[R PeDlle❑pirate❑
SINNS ,
I hereby certify that I heva read end eKaminnd tins aul+1 I.n d 1 tread Ihn"N1 I:'t_' nlov 1'om cludnde
eveDe side,end know the saran to be true nn I 11 1 I- ns governing Ih s Buildllg
type ot�work will tM Compiled w th whether syooll.d l r fl q i g I: dons nor presume
I fto for authority to ololat.or Cancel the provie ons Of any odler st I II local low egi r I I Onstruct on or the Plumbing
performance of comtrucnon.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS ('�
�D�Iw Meer. "f.a 7.00 I
DATEIOF APPLICATION Sf'O SIC,Nn rUnt 01 APPIn;ANI l
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Cheek
en HWM
4",,Q,- SEPA
nnlne
n MvQle11 Mobile Han.
o.EnelrNel Olhx(Specify!
Ulllnl_l.
e x vi.. + a.; ^` A •4 ,h, -s , f •4, y 4+ ,.t L l i1