1980, 02-07 Permit: 80-0103 Inspect INSPECTION RECORD
OWNER
CONTRACTOR
TYPb Of WORK
N S E W FINAL INSPECTION:_ ....
SET BACKS
DATE REMARKS:
•
PLAN nUM66A- _.. .. APPLICATION/PERMIT -'ogg orMaEA
- — SPOKANE COUNTY—BUILDING CODES DEPARTMENT - •
M n/13,0-- I
NONTN 011 JEFF EliSON I SPOKANE.WASNINOTON 88760 1 1509111511•3516 UgTL
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 4 COPIES •04, -+7.0.0 ,
OB ADDRESS .J
1 [SIT
YL LEGAL DESCRIPTION-SEE ATTACHED '7.00 W+'.,
LST 7 qv,.C'su1JUI Ig
.*7.000
II PARCEL NUMBERS
z OWNER I HONE E •00.o 8 I
3. y)nr6Fr7 Sc hwa�n [ )o?$-veo7 1024
ADDRESS ZIP rH�Buaee seF-tea 3s In Fat
S.?A R R� a L,bbd 7
S 9 9a 1 m Is9um Easl Iwest 0 1 1'1 B 0
�I ONE gem Parcel zona Cleeelnatlon 4-647'9.
5. COOrate frpor'o ry ii oh E S Yt�)29J-y8°,5
St�rR ERR t-a La bb y m-t- 5 9913 Type Lent. Oaa any Ely., o r. D q.na
DESIGNER .
J PHONE a u.on IIOIn9 Area In SA Ft.
5. nooREss QIP
'WL''''"a
In.,.,,,e'''' ea A,ee I =lora. Ems^
CHANGE OF USE FROM TO Som Entry sella Leel q.n.ner
6.
VE y No.Bath. No.Floor. No.Rooms Rec.Room '
NEW ❑ALT. ❑AO'N. ❑RPL. ❑M
7. won ,,/ OTHER �
won, LJ OLD. ❑PLMB. ,MECH: ❑MEL ❑POOL CERTIFICATE Pep,. Rec'G. Not Rep'E.
^ of EXEMPTION
DESCRIBE
FEES COLLECTED ALCU/A4l' w00I1S4UfI AS q 1NELCiRic ,ii.!?_ ,, , ..,.5
SEWER
0 Utilities
Single E
hereby COI tily that 1 have read a fd coantinod this application til d have read the"NOTICE"I'ICL"provisions included
On levelst side,and know the sale to be true and correct.All provisions of laws and Ui din antes governing this Building
type of work will be complied with whether specified herein or not.The granting of a lurmlt does not presume
-to give authority to violate Or cancel the provisions of any other slate or local law regulating constluctlon or the -
performance of construction. --�(/ /� Plumbing
.GATE 1////8d. 11 4 1). /` Q 7]Q O ..
-'SIGNA'rUHE__�N`"`C �t`- Mech. /r �.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. o, qac o. Plan Check
Env.Hal. '
•
Planning SEPA
Firs',torso. Mobil.Home -
Co.Engineer Other ISpoolUl
sAIInIa TOTAL $ /,00
Clearance
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WHENMACHINEV7AAL IDA I ED IN THIS SPACE, m�
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