1980, 06-04 Permit: 80-5332 Inspection CardINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W FINAL INSPECTION:
TYPE OF WORK
SET BACKS
DATE
REMARKS:
-1 c 04-
/ %�
7-i7 -gL
�t yl nuMBER
b
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH et1 JEFFERSON / SPOKANE, WASHINGTON PAX. / I5al4063575
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. c. 1557C, Psi -scy
LEGAL DESCRIPTION - SEE ATTACHED
VISION
2 L1 T 1 el LH 1 EIA2t iROOVEa REFLxT
PARCEL NUMBERM
1S -2S -44 I$544 -2361
oWNER
3. MKsIS GO "13utk,pEaa_4
PHONE
46$-9807
ADDRESS
• .01 0 Q
W 3 (27fSF)0111E1U
ZIP
94zo4
Actual Set see
/Norm AS ludo, 'h:' of 30' Iwnt 2:'
CONTRACTOR
SANnC'O94.9i
PHONE
Zane CI•ulflotlon
J£13'�� fed/g%. SMQURRArJ
S' woDRESS
.qn„E
ZIP
Conn. I °sop.. s l0 M1 e..
Over ONo 0 R.,
DESIGNER
S'
PHONE
•I Ion Building Area In SR. Ft.
�Ir9 oo'�100
ADORE% a
ZIP
P ..w Area e
CHANGE OF USE FROM
l
TO
1
0 AEON. 0 ROL. 0 'AVE
0 MECH. 0 M.H. 0 POOL 0 OTHER
1 Deco Finish. Inement 111,,. Su*rn nt
'Lea
j I —� .5
f1w a
1 N . No. RoP
NI 0. of riling.
fL s N 1
TVP[ ANEW 0 ALT.
T. WORK eLO. 0 PLMI.
CERTIFICATE A.M. ITeRecd. }lot R/a'd.
of EXEMPTION
Delcm.t W000
d%1211ka Fay.'s. / R0 rDECTFg
[num. 1 . I autlen l *rill
FEES COLLECTED
Ingle S
l�YA O�J fOURt[ owe [LECTRIC WAT[R SEWER
9.-f211r10.4,8 .1' SlprT1C_
O10/ 0 USE CODE
Puma ❑Private Pi
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions Included
on layers* side. and know the lama to be true end collect. All provisions of laws and uldinancea governing this
type 0f work will be complied with whether Specified herein 01 not. The granting ' i permit does not presume
'
to gr a authority to violate or canal the provisions of any othe' state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO/NNSSS
G
BYIIEIr- 7n AY.
Plwelbina
//
DATE OP APPLICATION SIGNATURE OF APPLICANT-
IMCh.
MCIAL AMROVAL
NAM[ DATE
TFaat==[I'
ICIAL CONDITIONS:
1
g51. a1:t71c -Pc... 0,0 TILL
?21 - L.EUCL '
g / ;
i_ /
1 I
PI•n Check
E we. 114101
P1 40 4/3/82_
1
1 BE).
Mobile Home
217781174811
ate
Co. E 9 •r
Other ISpecityl
Utilities
TOTAL S ZDI00
PERMIT NUMrlieR
•2£1.00
+2[1.00 C
•2L 1.40
•000
l'1.9s
06 -0d -B0
s 6579.