1980, 07-29 Permit 80-6964 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF' WORKp��
FINAL INSPECTION: A ' j� \
N SE W
SET BACKS
DATE REMARKS:
2 _1 46 G0 1, e-r�
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH St JEFFERSON / SPOKANE. WASHINGTON 99260 / 16091 9660676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
L K DI o19L"'"
2
y1as
AO / E�S5. s s F
DESIGNER
6.
a
ADDRESS
CHANGE OF USE FROM ITD
PHONE
HonE
41vssa,
PHONE
ztP
7' OF
PE 0 NEW 0 ALT. 0 AD'N. O RPL . 0 .011F477 WORN 0 ELO. 0 PUMP. ❑ MECH. CIM.H. a�-reel
ALLI ON SOURCE � ELECTRIC I TER
UTILITIE51
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S
Actual Sal Beene m Foal
North
Size of Parml
Soot n
2
1W.
zoo. CGOlfrutlon
Tree Court Occupancy ( M1
s em
Ova. ❑no 0 a .
ValyMron
No. aAt.
o. Stories
CERTIFICATE
/ EXEMPTION
Enum. Dirt. ILomtlon (Areal
SEWER 0wnennlp USE COOS
Public O PrIna!• ❑
I hereby certify that I have reed end examined this application and have read the "NOTICE" provisions included
reverseon
side, and know the same to be true and coffee,. All provisions of laws and of dinunces governing Mrs
Wise Of work will be complied with whether specified herein al tint. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance o/ construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
DATE OF APPLICATION 7. // - 7 d SIGNATURE OF API'I.ICAN
SPECIAL APPROVALS
NAME DATE
nv. H•HIn
Dann
CO. Enpinaga
PwwpppPRBR•r^.l
SPECIAL CONDITIONS: 5
/ m
Building Aru In Sq. Ft.
Unrin. Bement
or
No. Room I no' Irvot RoDwellings
v'd,
FEES COLLECTED
S'ngl S
Building
Plumbing
Moth.
Plan Chwk
SEPA
Mobile Home
Othw (Specify)
TOTAL S ID
•600
•600 8
•6008
•Q00 8
6963R
07-11-80
3 6479.
WHEN MACHINE VALIDATED IN THIS SPACE