1980, 02-06 Permit: 80-750 Inspect INSPECTION RECORD
[OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
Gv/ YYlD SpKaW �
1
T
I"`wNNOMEER I APPLICATION/PERMIT M PERMIT NUMBER
._-.SPOKANE_COUNTY—a BUILDING CODES DEPARTMENT `I^ '
-- NORTH all JEFFERSON 1 SPOKANE.WASHINGTON 99240/15001 4669615 DATE '
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 4 COPIES 046 *750
JOB ADDRESS
t. ` /` - - - _ LEGAL DESCRIPTION-SEE ATTACHED •7.5 0 6
t Lo R Dmsan PARCEL NUMBER/2 •7.504
E X000"d
a
• OWNER kPSSx PHONE r 7a9s
as IPR•pvk.a s•1 e,y�r m F.t — `A7c- ,, :/v...„,„
lf��cN9rin • Swam ;MLIW. of-ai�eo--. CONTMCTOR -`+.•-.+- FHOH[ 916•pl P•r. zp.a.Nlnmmn ! 61074..._..4• 5,3.0 OG0 fir/e..0 CA*sell' MfT-/�//q DRw .. zIPrep.�pml oer9 np s rm «.e
oeM nenPHONE v.m.npn
Building Arm m EA Ft.
^
5• ADDRESS f EIv DWLAr. Basement Aro 0«•.Arm !torsos
(:6.. ......_
CHANGE OF 119[PROM ITO Spill En1r2 ap111 L,wl Rancher '
D ....1
No.OHM i No.Flows j No.Rooms Red Room
7. oF� O NOW 0 ALT. 0 ADN. O Rn. 0 MVE.
` O OTHER
WORN 0SLD. --el -aMECIN 'OTAK "O POOL— CERTIFICATE Rep.. Rac,e. FIOI Reg,
of EXEMPTION
DESCRIBE WORN
ar,JY1ATO 1k4i rn l/►tntt 4Pifhadc �raoe/Nco IVES COLLECTED �_.._.
so uwT ION spur. feAE 4 CTIIIO WATER SEWER
NV. $
I hereby certify that I have read and examined this application andhave read the"NOTICE"provisions Included -
on de,and knowthe same tobetrue and correct.All provisions of laws and ordinances governing this &Aidi g
type eof work will be complied with whether specified herein or not.The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or-toed-law regulating construction or the
performance of eDruo
Nttion Plumbing
DATE SIGNATUREMsh. .
SPECIAL APPROVALS SECIAL CONDITIONS:
D[R.
AEON. RECD. Plan Cheek
Ene.Health _
BEPA _.-_�—....n.
_..
manning
F.M«m,n Mobile Monty _..plr' ;P` ,� �
Co.En9ln.eI I^'^'�"- Dth«IAraeirrl IN et,l..`I.I."ii
Dlunw ' z1-•6 -T----•Ta3
TOTAL
-71.--f t1p5
•