1980, 10-22 Permit: G80B-0173 Inspecti,
OWNER
INSPECTION RECORD
LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE .
REMARKS: I /,
N NUMafP APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Sit JEFFERSON / SPOKANE, WASNINOTOn 99]60 / I •tie Sala
� PE�T�DM. 0173 I I •; p ��/
04. +9.00
•9.00 n
+9.00
A •000 B
1729
09-15-80
Y
1 {
G
p r
l
APPLICANTS COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
t
p[AooRess alo LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERA
2
ownf 5 PHON
,
3'
App 94 tu• aet S•cb In FM
707 o?ra a 1,11
IwER
Cb OR ONE SI•e of Parcel
7
ate CNnlNunon
A ASM Trw conn, oevw.na
sminkl«w
❑vas ON. ❑ a.a•p.
D[i1BN[R PHONE V•N•uen S911alnp
At— ie. Ft.
S' Aooaafa P em Iwr uep« Fmor.
«.9e Ar store.
CMANp[ OF USE FROM TO as e n w ..—nt
n. B•Nment
&
no. erns No. st«I«
❑new ❑ Alr ❑ o n. ❑ aP�. C7 mve.
N No
o. awN . of ow.nlnel
rRec
'�
T. WORN ❑alp. 0 PLM.. MSc. Li M.H. ❑Pool ❑ oTHE CERTIFIGTE
of EXEMPTION
•e a. s w
p-4 eE W.— Enum. DUL outl9n l-san
FEES COLLECTED
8.
VA—TION S ;<E eL[C RIC WAT[R S[W[R f}vrnrMlp Ufa CODE
B. UT0.mp Fuel. Ell", ❑
slmN S
1 hereby certify that I heve read and examined this application and have reed the "NOTluk" provisions included
on overser side, and know the same to he true and correct. All p—slams of laws and mmnam:es governing this
type of work will be complied with whether specified herein m not 1 he granting of a pallnit does not prnume
B9 -ret
gulnq comtructlon or he
to give authority to violate or cancel the provisions of tiny ouml it", m local law nnn
performumpe of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Pl o"ll
DATE OF APPLICATION SIGNAL -F OF APPLICANT____
M«n_
SPECIAL APP910VALI
SPECIAL CONDITIONS:
NAM[ DATE
Plan Crack
SEPA
F n�i Tif��
Next". Noma
aN a
Otter ISpecityl
ata owr
TOTAL S �
� PE�T�DM. 0173 I I •; p ��/
04. +9.00
•9.00 n
+9.00
A •000 B
1729
09-15-80
Y
1 {
G
p r
l