1980, 06-23 Permit 80-5911 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
(07c _efL7--(:1
E n�c�� �j((�rc c� G-c s IVtyCi" 61w C�
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'^mw APPLICATION/PERMIT
SPOKANE COUNYY — BUILDING CODES DEPARTMENT
NORTH MI JEFFERSON / SPOKANE, WASHINGTON 96ae0 / (609) e6605T6
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
--T
APPLICANT:
JOB
t.
7OT BLOL
2.S /
DDRESS
f'R97Zi 4.
CONTRALTO
3 H f'
�' J)ODNess
tG/I F pie yew
DESIGNER
E' AGDREK
GHANGE OF UK FROM
44.4
T 01� KNEW 0 ALT. 0 AWN,
WORK 0 OLD. 0 PLME. 0 MECH.
�CROBE WORK AA
Ittata
to TICN SOURCE I A5 I ELECTRIC
C TILITIESI
PHONE
2z6
PHONE
a�-Qz�z
MP
ONE
LIP
O MVE.
❑ POOL
0 OTHER
hvytK•L��—•
SEWER
.anwo 5. In Folt a
a.teiBT �axIsoam3/ J !Eng 3G / Iw.R 3/
sD. or vv,.,:N� ikaion
Tree ono. canton. j o ne uL�, s'I
SpivatIon �o l Bnndlne Ar.. S/I. F
hoer w, f 0Is I. Owns 1.1
` 5car..
A0M 1 Ora, I /2M.IB mot Unlla B.9m.n(
//2 70
LEGAL DESCRIPTION - SEE ATTACHED
4RCEL NUMBER/S�.2S//[J - D/0.'S
1`A.OT S Du( f
PANDEROSA ACRES 7r/ �d '
Oro Ono 0 Ren'd.
N0. BMus I N0. Stoll. I Na Reams (No, of 0— .1.longs
J
CERTIFICATE R 'o R.
of EXEMPTION
num, DIN, reunion (Avast
Ownerthie
T4 / Public OPrbM. )11
I hereby certify that I have read end examined this application and have read the "NOTII:f" provisions included
on verse side, and know the same to be true and correct. All provisions ul laws mil 0OIIttanees governing this
type of work will be compiled with whether specified heroin or nos The wonting of a heintlt doer not presume
to give authority to violate or ceneol the provisions nl any other slain o' local law 'entllains construction or the
performance of conotructlon. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS �} ��!//�L�-��C��L�. ''��P)umbina
SIGN/IT000 Un APPLICANT I - wh.
SPECIAL CONDITIONSI —
USE CODE
p.
c. rx.a'd.
FEES COLLECTED
OATE OF APPLICATION ./ —Pd
SPECIAL APPROVALS
NAME DATE
r 04
Co. Engine..
Ulllltl.t
onnoonnwO
Plan5 Examine.
.. n1 Dcj':g.1T,
Shea.
BUIIdMO
DK. Nen Cheek
4- 1/-sa SEPA
Mobile Home
v,o en.e
Other ISpeeiW)
TOTAL 4 Al/oDda
02• •260 0
•260. 0 I
•260 08;
0 •0 0
5'122f
06.12-80 I
S 6479.
4