1980, 01-29 Permit: 79-8808 Inspect .m.«1.
INSPECTION, RECORD ft t;
O ER LOCATION
CONTRACTOR TYPE OF WORK
NS E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
0011 rA,
11/4 AT
,� �
•
Te...' APPL
(CATION/PERMIT ERMIT NUMBER
I, •
SPOKANE y' \e_,PG 5B 03
NORTH all JEFFERSON/SPOKANE,WASHINGTON 99260/16091 469•acre DATE
APP/..P��LICAN11T: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES
JD■ADDRESSLUT ■wLR 66■61d�Sk `
04. .._ 9,0 0 t _
L F /6Y7 LEGAL DESCRIPTION—SEE ATTACHED / ..*9.0.0 k
PARCEL NUM■ER/S / I�/
2. // G/{1> •eu0a
a OWNER 4/ ah � h 4 i_tx I/ •aoo e
ADDRESS / Required Set a In Peet I 880 p
y� //,� �,,/ Backs I.R. ao�" 12-07LL79
,•
NTp2(I// /�1//�i WiLtCL�- °A''.- No0 ESS rth
of Parcel
.cl..en�t f 6479.
1 71. /30'14 (it) '2/qo1D/ qe Con. D«uPeec. ❑y. ONok10A -
DESIGNER PHONE Valuation Building Area In Sq.Ft d
6' ADDRESS SIP OWL Area Bn•mnt AreaO•ag ArAEt...,Eta
CHANGE OF USE FROM ITO Sollt Ent, Spilt Laval nnwnw
My�
& yPE ❑NEW ❑ALT. WgD'N. ❑PPL M OTHER No.o.Baths I NFloor a
No.Room Rec.Room
' wORwon., ■LD. ❑....... viM■. ME.: ❑M.H. ❑POOL CERTIFICATE Req.. R I dPlot Ree'e.
/yyyOOO'�/1�¢,/� /q�.p�e of EXEMPTION
fL VnCDnTIO 5 F� Oat 166 .,/7,240 FEES COLLECTED _ ._
ELECTRIC WATER SEWER
B. uuuu•e I WO Single a
I hereby certify that I have read and examined this application and have read the"NOTICE"'provisions included —
reverse Side,and knowthesame to be true and correct.All IJ f lawsand f Ia es governing this Building
type ofwork will be complied with whether specified herein or not.Theo presume
to give authority t0'Violate cancel the provisions df any other state local lawneg let I construction or the �,/�/E�/
laerloHn; f Co{tStruOlOn �(\^y/�// �`L-�,//
Plumbing M` M V —
DATE '6 / �[ SIGNATURE�dS-F ad_.(/��I� Mx1t 9W (/ '..
SPECIAL APPROVALS SPECIAL CONDITIONS: U !' / r
GER. RED'D. RECD, /�{I'1 /y Plan Chink
Env.Health * iUei d ul.;.l wax iL
naRoma um
Fir•Marna6 MobileHerne ..__ ..
, Co,Enlnnr - _...
Other lSpecifyl
Limon
_a TOTAL S
. Airi/ WHEN MACHINE V,/MITT',IN THIS SPACE