1980, 06-28 Permit 80-5785 InspectPLAN NUMBER
(PERMIT NUMBER
�d S lZss
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Btt JEFFERSON / SPOKANE, WASHINGTON 99260 / (506) 066-3876
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
Joe ADDRESS
' N' ( yQq OpOPARCEL
t�.
LEGAL DESCRIPTION - SEE ATTACHED
L T CK SU9U IIJ
Z
NUMBER/5 e.4.1BcI
E/E. E..Ro' of N.I-
or to, egE.s.lalo
OWNER
low In
PHONE
o8s4
aT5S3-1343
3 ADDRESS
Eo GNAW tav
ZIP
21P
QQO\L
Actual Sal Becks In Feet
rvk ,3 S' !South 19S' East a10 'West 2.W
mire_ -
CONTRACTOR
HONE
SlamZone CIassIflutlon
%�C.R1C.N Z:ARPa=-
s. 'ADDRESS
DE
ZIP
Typo Conn. Occupancy Sprinkle..P
Oyes ❑No 0 Raced.
ER
DESIGNER
PHONE
luetlPn SulMIna Area In sp. Ft.
IAi%-IO
.$001 F
6' ADDRESS•
21P
50
/C1In I {/pPar Floors Area S,—ape
CHARGE OF USE FROM TO
6.
.nt Un11n�Basque
P u of Deck. PMIM=,Bas.mBasque.
TYPE ®NCIElO' EW ALT. AN. 0 RPL MVE. 0 OTHER
T. OF DLO.0 FINS. 0 MECH. El M.H. 0 POOL
WORKof
ryo.—,Ba{ks I No. No.. I Room. IN.. Dwnllnps
J l
CERTIFICATE Rao e. R.c'e. FJ✓q'e ot R).
EXEMPTION I
DESCRIBE WORK
8. gltAs,,)({f(i�5 W i!t I U KOMF
En"''I t. Locallon (A..a1
FEES COLLECTED
sing'. S
SOURCE A5 ELECTRIC WATER SEWER
GAS
�- UTILITIES SCPTIC
Ownermlp USE CODE
Public ❑ Prlvala Ra
IaVALUAT'ION
g. ' 9�
I hereby certify that I have read and ekamined )ht; amlica11n11 and halm load the "1,, TICE" provisions.included
On reverse side, and know the same 1u be II and Memel All prnvl.slmis ul laws and .nlllnanoes governing this
type of work will be complied with whether specified he ein iv not. t'1,. granting 1)1 • no m,, does not p sums
to give authority to violate or cancel the provisions al any Mho slaw or local law emllal.nll constructs r the
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
a911dIr.
plumbing
Mesh.
performance
`
OATE OF APPLICATION Co -GA - 8d SIGNATURE On APPLICANT �/
Flan Cheek
- RICIAL APPROVALS
RAMS DATE
SPICIAL CONDITIONS:
l�
S e_A GEC) KloPst,c li SONG
CK{sllwsy 'DR.,//tea..
�7�
( ,C��
BEFA
E
9
Mobile Hama "-'OO
yrinnn'w
Fire Marshall
Other (Passel-FYICo.
Enpinae�
TOTAL SG. O.
"MeiZglififfir
•5D,00
•500b
• 50006
•000 S
57N4,
n6-13-80
6479,
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSEW
SET BACKS
FINAL INSPECTION:
DATE
REMARKS:
PLIX
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