1980, 05-13 Permit: 80-4642 Inspection CardPLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH SII JEFFERSON / SPOKANE. WASHINGTON SONG / 16091 J1660876
APPLICANT. COMPLETE NUMBE RE() SPACES PRA ■ ARD TO MAKE 3 COPIES
JOB ADDRESS
t. E. 808 AI
LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK ISU D1vIS1On 1 1
2 KI o S ��
PARCEL NUMBERJS ' ' 4 3 — .rte 5ry
vW. � or K1 ,4_ or L� 61.-z
Gkc-, S. lo'
3. vit1GG'N(
XT" 34°9
A°67737.0 V q A (
92
B.I 8 I n Ft 1 .. I a
DonC••TMM,, �
PHONE
S ep.
Size Co. n
K/
4. ADDRESS
ziv
Type Cond. Occup.nw SOHnnkHr.0
❑legs DISC 0 Rog,.
DESIGNER
8.
PHONE
V.lu.7n7n0 ul$Uln9 ry in SV. F1.
`I�
ADDRESS
Zip
Stouts
Main Floor Upper Floors Ci o ir
CHANGE OF USE FROM ITO
6
Antwoll Docks I Fim.R.e B. m.nl I Unnn. Basement
'
LR NEw ❑ ALT. ❑ AO'N. ❑ RPL. ❑ MvE.
0 wFPE RILLS. 0 ALMA 0 NECK 0 M.N. 0 .0 OTHER
No. Bans 1 NA. SIo,N. j o. Room. INO. oI Dwellings
CERTIFICATE Rego R•c'g. F.
of EXEMPTION
8. DESC nI BE,wonly✓� 6� /�o-x
3�
Enum. .. I Location Igr•al
FEES COLLECTED
SRO* S
VALUAAATTIIrOo'NM'"EIOTPNCE OAS ELECCt�IC
D. ` I�TIE3I
�µW1Iy.I01 EWER
"" "'SG4��/
wn.r nip USE CODE
vu Nic sO Rriulg
...oh, .� lte 1 .,,. .n, ..���. ��� i. -r■1, n,. �..I
se 11Ae AO t n , ..
pe,1 . 0I SLE RE V_Li ∎SE SI ■ 111 I'I t.1111, t. ill rr ,/
DATE O A L \ eJ LE U ✓ 11 / CL
SOMME
uDing
m
aftW'
SPECIAL APPROVALS SPECIAL coNOITIONI
E DATE F'L, l
y�j
s ,ALL 01,1ni
„ -
•
Sr-t . 2 , o
/+' ��
�Otnx
11
..lee
Man Check
SEPA
OtN.r Roma
18pcihl
--
_..
TOTAL S
ERM_IT nUM6
•6600
•6800 tI
•66008
•000 8
T-10-80
6479
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORD(
/
FINAL INSPECTION: A-
DATE
7LX r et t5 /f/
REMARKS:
%c-L 'r or Ag. O kk' d / s-
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