1980, 07-21 Permit: 80-6799 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N. , S E W FINAL INSPECTION:
SE BACKS
DATE REMAR S:s
Z� �d
kiize
DiQ1 APPLICATION/PERMIT 1 1 PERMIT PUMPER
14 k.i� SPOKANE COUNTY—BUILDING CODES DEPARTMENT -4*
_( -1:1q• 0 •
NORTH S11 JEFFERSON/SPOKANE,WABNINDTON MOO/ISM 4063E70
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES ,
JOG ADDRESS -
1, F + l �StSH• LEGAL DESCRIPTION-SEE ATTACHED
•
Lor BLOCK Ist1�D1J1 PARCEL NUMBER/5 C3. Ai00;N
X
OWNER (� •300 A
a. AAI P4'1 PA).Pt rtnyr 93.3.-532D.S a.l sRocks M ..
Ft •3 0 0 a-
ADDRESS Q.
e. G Act
..
CONTRAc .. ISa X\ r]l.l<ra_ CKI�.I L. North ISagth IMI Lint E •000.,1
aT t f. 11vca PHONE 01n of Parcel Zan.Clus.iotlon
ADDRESS tZ^ 2t7�CF ZIP ��� 6 79.8
J.,�
L�„ G__.ac,
1 ZIP, Tv.CenA. Oaupinq AVN ❑NPSorinkl❑Raa'd.erect
0768/4140
DESIGNER PHONE ViluMlon eunamo Arai In Sp.Ft. @ 4479.
S• ADDRESS ZIP Main Floor II upper Pleat. Oarag.AIM Stare.
CHANGE OF WE FROM TO AAR of OK'D Finished element Unlin.Basement
13.
No.Baths No,Stones No.Room. No.of Dwsllow
TVP. VI NEW ❑ALT. ❑AWN. ❑ROL. ❑LIVE.
7. OF ]OTHER
WORK 'f•❑OLD. q PLAID. ❑MECH. ❑M,N. ❑Pool CERTIFICATE Rpid. I Redd. IVet Rm..
\jr...
of EXEMPTION
IMMIXESIMMIXmA 1
ISE WORN Enu ,Dist, tion(Area) FEES COLLECTED
& ...-,-r pt OAS („ILECTRIC CETATER
VALVA ION I OAS I ELECTRIC WATER SEWER USE CODE
9. TIES Public❑Private❑ Singed $
I hereby certify that I have mad and examined this application and have read the"NOTICE"provisions included
on arse side,and know the same to be true and correct.All tisal of laws and ordinancesgoverning this Building
type of work will be complied with whether specified herein cs Vs
Thegranting of a permit does not presume
to give authority to violate or cancel the provisions OI any other est to or local law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION _SIUN,.tNHt DI..il I HCANI_ _._ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env Haan,'
a SEPA
Plannlne
Fire Marshen Mobile Home
co.Engineer •. Other(Specify)
1 j , TOTAL $`--2...�-
PransE.am:,.