1980, 10-28 Permit M80B-2522 Inspectr
M.SCIAL APPROVALS
NAM[ RATS
En.. H..nn
2
APPLICATION/PERMIT
SPOKANF COUNTY — BUILDING CODES DEPARTMENT
NORTH eri JEFFERSON / ePORANE, WASHINGTON 99ge0 / MOS. 168-3616
APPLICANT' COMPLETE NUMBERED SPACES — PRESS I IARD TO MAKE 3 COPIES
9f
a Ae. 8sg..,Vi1
AD E�SS
C T ACTOR
P
O1S1UNER
5. AOORR=E
PHONE
ZIP
99.2./6
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
ARCEL NUMBER/9
Actua Sol Saws In F.
arm 1s0Ptn
SIN of Parcel
Zorn Dweller le
IP
PHONE
Typo Coml.
Va on
NwPHr.y
SAM.1N.e
❑v.. ONo ❑Rod.
Building Aram In S9 FI.
Main Floor
CNANOS OP USE FROM
TO
A.M of D.0R
Upper Floor, done Arma
. FlnINIw ...m.R
Rnn. l9Rm.nt
TV" 0 NEW CI ALT, 0 AO'N. 0 RPL 0 MCI.
%. OP
wog', 0 ELD. 0 vLMF. 111 YecN. 0 M.N. ❑ POOL.
a
0 OTHER
No ISOR. I Nor Simi .
No. Roan..
0l Ow.11lnet
CERTIFICATE
al EXEMPTION
M(Ide..E� WORK (—l(II [num. DIII. !Location IAreal
T SOt `oAS ELECTRIC wnTER SEWER
UTILITIES Public
° USE <DOE
N ORN.t. ❑I
1 hereby Certify that I have reel •IIJ e.0r Nrnud this Ppnlrea n,rrr .ru.: Ir r.r r.:nd the fir I I Ir1..l!Oln r,cllrJusl
[In ISYEfN side, end know the ,erne In be true and Cr rrnr:I. nhl Ir•rrv•arnrr..,I laws nr,r]l 's 9Pverinng this
type of work will b. Complied with ehedn us,eclheil hcr r.rrr ..r rhr• .Ir Jute y 'n*, pallormel me nt con.lruelion. SE5 Rm. SIF I nry Ilnl.'• .rr Ir,r'al I, rw r
.....r .rar
n. ucr
,r pn rensr lr[n1..P
lu glue authority to violate Ocancel
REVFRSE SIDE fOH R1UNED INSPECTIONS
x2.. 11) A1 ,4•Ze /t.,
OATS OF APPLI( A I ION /O. 2'-0 c
rul CONDITIONS:
Planning
Ma M1
te. Ea, lee.
LRunw
.9
d. pIol R.q'd.
FESSCOLLECTEO
SIRS! {
Malldio,.
Plumbing
eyea
Mech.
PIAO °lack
SEPA
Metals Nam
Other IBlpwlyl
TOTAL i
PERMIT NVMEER
Ai...fiE.n�ti zR
0n• •700
•700 K
•7006 ,
N •000 B;
t S: 19
10647q, 79.
PHENeTACIOW VALIDA ILI'Ih, ![SPACE
•
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: /d "o� � 17/ia
DATE REM ARKS:
2e-y)
'thaaye ��CQ