1980, 06-16 Permit M-80-5618 InspectAPPLICANT:
APPLICATION/PERMIT'
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 1111 JEFFERSON / SPOKANE, WASHINGTON. SYEe0 / (ION 4NJ5TS
COMPLETE NUMBERED SPACES
- PRESS HARD TO MAKE 3 COPIES
PEq MITMIT IvtiNTeE�—' -'
M 8(?-5(0I4
SPECIAL APPROVAL[
NAM[ DATE
Env. IKnh
JOS ADDRESS
i. E'4 /l I %470/ RP
z z /�7J(��NEq �'-'SF�`
1Ha1UHE5B "
r%7
CONTRACTOR
90 aEEs e4nidaAi n497. /Neu
�rT klElc_E
DOSI NCR
I. ADDR[ee
0.
SHAMUS OF imp pno
-C7stT
kac4,
NONE
y.8V-9 J
PHONE
SIP
7. TV" NEW 0 ALT. ❑ AWN. 0 RPL O MVE.
OF ORIt 0 ILO. 0 ALMS. * MECH. 0 M.M. 0 POOL O OTHER
OCSCRI.E WORN
LL11 tt p?-� L)k4 HEf{T"PLI ryP TfuGTyJOP.M [num. Dim 'Location (Aral
M1 IONI SOURCE O2 ELECTRIC WgTEq egwEq ownership USN CODE
D. UTIEITIES xV Public 0Prlvete OI
I hereby certify that I have read and examined this application and have read the "NOTICE" on reverse side, and know the same to be true an o provision! Included
type'Df Work will be complied with whether f correct. All not. The
ro tang and permit do governing this
specified otl herein eor not. The granting law rs A tPPng C dots not n or the
performance
give authority of to violate or SEE REVERSE
E SE SIDE Of any other state tSr law regulling construction or the
performance of construction. REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION SIGNATURE OF APPLICANT
Fin Mereha
Utilitia
SPECIAL CONDITION:
LEGAL DESCRIPTION — SEE ATTACHED
PARCELNla •ER)S
Actual SN Back. In Poet
North South
Slatted P.rc.l
Const
Valuation
Occ Panel/
Waet
zone cremnmlon
Sprinklers
Oyes ONo 0 Rp•d.
IRANI. Area In Sq. Ft.
Mein Floor I Wpm P1Dars Oarena An. IStormp
Area or Nolo Plnlenq EMI nt I Singh, Neuman)
o. oath. I No. StgH, I No, Rooms INo, o1 Dwellings
CERTIFICATE
I(I Raq'd. I Redd. Plot R.q'd.
or RTIFICION 11
FEES COLLECTED
(Simla $
Building
Plumbing
1Mch.
Pi.n Check
SEPA
Mobile Holm
Other (Specify)
TOTAL $ 9.oc
55* *9.00
•900
*9.00
8 *Q00'
561.7R
06-1140`
0 6479.. -
•
WHEN MACHINE VALIDATED IN THIS SPACE.
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS: