1980, 03-03 Permit: 80A-9878 Inspect orunnnc WWI IT—I.VIlvI1YO E.VVco vcrimi l POICINI "s '--'- -- •_
NORTH S11 JEFFERSON/SPOKANE WASHINGTON SPAM/16081468.3876 pA
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 4 COPIES
,�/ I LEGAL DESCRIPTION-SEE ATTACHED U2• •5600
I. JOB CLO SU D - 17J e- /P1�QdLLI� •5600 6
LOT B Oc SU DIVISIO PARCEL NUMBER'S
. 1I2354/1-16./s. ,56 0 015
OWNER V� it 14• 5
()le,'win Bis-l-id 9.28.131,1 40- 135 Cl2.n AOP1 .; B •000 8
ADDRESS Ragnl eet 94658
e. /5104, - -4W erar/ale 1T 7 Nerthr35 a1soluth . 0 IIweeI 12-26-79
COP ACTOR PHONE Size of Parcel a h ssIf
v2vnY� /24-x 28 7Ia9 Siau/-lura-I 8 6479.
4. AD ZIP anc A
Ion iri-/y oyes Ar»o to w
DESIGNER PHONE Building
• e Val 6,„nolo 7os�ete4 t
ADDRESS ZIP Besem Area Garage Area Storage / �,�_ -
/QJry� (��V
CHANGE OF USE FROM TO Split Entry
Spilt Le I Rencnar /.//]no
TYPE prNNEW 0 ALT. ' AWN. 0 RPL. 0 MVE. OTHER N.Batas No.doers Ne.� Rec.Room �o tiA,T ••o Al
7. WORK P QLD. 0 PLAID. ❑MECH. ❑M.H. ❑POOL CERTIFICATE ea a.a. rot eq a. /
DES ANil �JL,sL. QQQ,,, •n r (J �(Z� of EXEMPTION
I •/ �J �a
&
VALUATION ea) rT ��I fr AS r I rE_tgCTRIC 841,1( `fid!//Oh FEES COLLECTED .K4 w .J O
11 I EWER 4
9. CO,aon— Sing. $
I hereby certify that I have read and examined this application and have read the"NO I ICE"provisions included reverse -
on side,and know the same to be true and correct.All provisions of laws and of dinances governing this Building •
type of work will be complied with whether specified herein n not.IThesgranting of a pei nit does not presume
give authority to violate or cancel the provisions of any other st local law regulating construction orthe
performance of construction. •Pwmmng
DATE_i /979 SIGNATUR � - � Meth. -
SPECIAL APPROVALS SPECIAL CONDITIONS: sii. 1-0)
,f,..% .
.rpt "'Jr IM 1-0`1
DEPT. REG'D. RECO. pL/k1J1� �t"1 MTI�,y/s � V.Ip.. / PIen Check
Env.Health MA ---p--_cam\\\ I
L -70 COrISEPA ,•
Planning • _
Fla mum. Mobile Home
•
Co.Engineer Other ISpec,lyl i•i} •
utllllm.
Sena clearance TOTAL 5
Se
WHEN MACHINE VAL IDA SED IN THIS SPACE, W
/2, OFFICl/1C VAIs/ TNIS DlCOMES A PERI=1I�-�O
-` — -— DATE 11 '
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS: AQ