1980, 06-25 Permit 80-6040 InspectPLANNVMBER
ty� —
APPLICATION/PERMIT 'PI
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Si JEFFERSON / SPOKANE, WASHINGTON MOO / 160g1 463-08)S
APPLICANT: COMPLETE
NUMBERED SPACES -- PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LitSO✓ip� UBDVo
Z 11m,eAG •6-
OW
AoPa Ii 16911(1J�
"fcgi0 i c Lkl-r tf
RE55
. i'a'1
3.
4.
DESIGNER
• I�iS f
S5H��Oh 86I h
9jo[49
r-9n16
1,72.06
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/. 075 4-- o gay
ruin"A I or K. 4co I 'fKAcr A of
North 10.-'Scu [East I� Iwest 50
Zu ;sclrlratlon
Size Off Parcel
AOOx )O
Typo Const.
Valu. 11on
ADDRESS
ZIP
CHANGE OP USE FROM -
TYPE ❑ ALT.
T. OP ❑ MAWWORN PIII1���5�r''''
B. DESr
VALUATION V_ OAS
9. 674-5
MRCE
LITIE.
TO
❑ AD'N. 0 RIB— 0 SIVE. OTHER
❑ MECH. ❑ M.N. 0 POOL
ao)
ELECTRIC
WATER
SEwER
Occupancy PIInNNm r
OY.. ❑N. CIR.a'd.
BUIMInp AL 68�F1.
Uoox Floors r (Wrap Ares
Arm of Dock.
q&U
Males. easarnani Untln^wren
Na. Baler I No. Storm JI o. Rooms1o. al Dwelllnpe
o
CERTIFICATE I m'a• Ro4ri-. R>a•d.
m EXEMPTION I
enu , Dlst. Loyllco IAroal
E CODE
Public D Prlveto
raby ceruly that I hand trove road n a ,.d led lhn dppl'11V11 a0J 1,aa• rrad Ibx "NI.1I I."I' InovuiUlls unautleJ
l 1 so, and know lUgum P s in be tom sand cs „P01. All nnn'n.,n,s,d I.,ws n•nl ua yuvP u•,I Ihn
type V1d
I wolk mil be complied w111r wuvlhur so/milled II¢ioin o1 so1. In,• ur.uonln UI �, n,•l.,.I duns nm Ip,•snme
U , I
to !IN„ ;Illlllnrlly lu Moline or Co11C1.1 Mc provisions of any u111Y1 Stale n1 lurid law Ienln.0,un )VI1511UI:liVn NI file
perlormonce of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
GATE OF APPLICATION_/%0� - ^IONATURE UI AJ'I'I. PAN, �IIO
SPECIAL APPROVALS EPICIAL CONDITION& lJ
HAMS DATE C-. I./.w a c•r I/Vk25A5
buO caiNte wept. L
Dt4rub
F.n., H
a6D�
•
FEES COLLECTED
Si PI
Building
Plumbing
Pion Chock
SEPA
M bll No
O1h.r lapaollyl
y
TOTAL
Iv�ERMIT NMBERy�
21V �toa1V
*6200
•6200 n
*6200e,
•a,lo 3
E,
p11-16-60
6479.
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/ �3v - F%t-4'L
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