1980, 08-04 Permit 80-6486 InspectNNDM.ER / APPLICATION/PERMIT
3 SPOKANECOUNTY — BUILDING CODES DEPARTMENT
11. 811 JEFFERSON / SPOKANE, WASHINGTON 99380 / 15091 46&8676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
:... _. r 1 1, I I LEGAL DESCRIPTION —SEE ATTACHED
3 ADM ku �
RAQ i
CO i O PHONE
A ! u o rS 11
REes
i n Q3
DESIDNER PNONE
(25 3/-Oso/2
TYPE ❑ NOW ❑ Al, ❑ AD -N. ❑ RPL. ❑ MVE.
' .
WORK ❑ k0• ❑ tRNE. ❑ MECH, ❑ M.M. ❑POOL OTHER CERTIPICATE ee
<Pqs � oma%EMPTION
�•i .. ,y A.
.DRI. Loatl9n lAru PEES COLLiCTEO
6 Sy I, — C'. �F.' YI �.. � A. Sc i eL nP I _
Y• I I I'.I I I'..
IIc n,veM u Bingle
1 h=rtify that I have read and examined this 9pphcdl'ioll e I n„�. ,dad the "Nt I i' F” ,,: rv,sl ons ,wludeo
ovence. si da, and know the same to be true and c ect. All , uv.nuns of l.ws en,l ,I,,, lnees I— -y this Building
type of work will be c mpold with whether specified herein „ p: 1, he yrannng nl • i t does not presume
�'. t0 give authority 10 violet.. cancel the plovlslons of any utile, •.late , local law ,vy�.,knit cnnsH uchon or the Plumbing
performance of construcumn.SEE REVERSE SIDE FOR REOUIRE_O INSPECTIONS y/
DATE OF APPLICATION 40 RIGNATUFE .Pv�I,:AN, _f!_ Mach.
SPICIAL APMOVALI SPECIAL CONDITIONS: Plan Check
NAME DATE
nv. Hun SEPA
en a • Mobile Home
o. nen«, 0O aryl
ea
TOTAL $ o
I
026 .5050'
5060 11.
.50605
E *Goo 8
64851 j
06-30-80
1 (479.
VI -
r
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE :as,
--- a i" - n a�