1980, 06-06 Permit G80-5267 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORKr/ j
N SEW FINAL INSPECTION:
SET BACKS
DATE REMARKS:
14-4‘c7-e )4-417,410
e: A«TIyMEE^Vt v ILQ o
ia
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTHStt JEFFERSON / SPOKANE, WASHINGTON .EM0 / ISOM 66-3676
1.
JOS ADDRESS
APPLICANT:
COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 3 COPIES
LOT •LOCK .i.ffvISI$f7 ABC -
OWNER
3. -1-6otin0 fA
ADDRESS,...„
As
CONTPA<T
J ATIN F,
DESIGNER
fact.
OPPICF
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NU
IZL NTS44-1150
ZIP AMII Sn .M. In FM
/E qqf .04a Ha64 (.o--ALI& 4I4 of P..I Iaaem
EWIE 01 TV. Conn. I 0eoa1
r
PHONE
Iorse CN .1110 ion
On.e ❑No ❑ R«•a
Velunan Su In. Area In So. Ft.
6. ADDRESS
CHANGE OF USE FROM
TT. 'Crew ❑ ALT. ❑ D i. . ❑ RP ❑ PAVE.
7. O
WORN 0 ELp. /�f1 _SS. MECM. ❑ M.M. ❑ POOL
oast Atee WURIQbeg.,,,,,_j
g. t fl DTE� QfmELECT1RRICIC EOM
SEWER pvnnMlp
VALU SOURCE I UTILITIES Puela ❑PrWate D
I hereby Certify [hat I have read and ex mined thif application and hall read the "NOTICE" provisions included
on revert. side. and know the same t0 be true er7d correct. All provisions of laws and ordinances governing this
type of work will be Complied with whether specified herein or not. The granting of a permit does not presume
to gtve authority to violate or cancel the provisions of any other state or 10061 law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS io
DATE OF APPLICATION W `, - 5 0 SIGNATURE OF APPLIC
❑ OTHER
Main Floor w Floor. onw• Arm sorest
Area o n Mea Easement unnn. Ea«men
No. Rooms INo. of Dwelunu
VICIAL APPROVALS
NAME DATE
Pn.. Kaska
Olr• Mars
Co. Enelnaer
'ns EMaml ner
SMCIAL CONDITIONS:
pppp%Cua�
NOO�yLTad Iseew-
• a
C4►Jr- Pfr Fog d'T1/4.,SP6c-T1CNl)
CERTIFICATE
of EXEMPTION
umN«. Is. tlon(Aran
QF
UEE CODE
FEES COLLECTED
SIN. L
sulalna
Plamldna
Non gNck
SEPA
Mobile Home
Other (Specify)
TOTAL S
I RMIT NOMESR
04• •1500
•1500t6
5266f
06-03-8p-;g
i 6479.
NFN MACHINE VALIDATED IN IHIS SPACE.
f!
5/ 1