1980, 09-11 Permit: M80-9702 InspectionSPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 311 JEFFERSON / SPOKANE, WASHINGTON 33280 / 18091 a69.0876
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOJOB ADDRESS
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ADONLI
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LON RACTOR
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DESIGNER
I 6.
ADDRESS
,2PE 76.97
IP
PHONE
LEGAL DESCRIPTION —SEE ATTACHED
PARCEL NUMBER/, _
Actual Sat Ba=e Fool
orth 00F
an
IW.
2 •CleaRllullanfl
IP
PHON
Sorinklarad
❑Vm ❑NO ❑Race.
Valuation Building Arm In Sa. F1.
CHANGE OF USE FROM
6.
IP
TO
TV.E' NEW ❑ ALT. ❑ AN. ❑ RPL ❑ MVE.
j. OF .LO 0 RMS. f MECH. ❑ M.H. ❑ POOL
r: WORN
OHCRIBE WORN
«08414.NFN
VALUATION! SOlaCel B ELECTRIC I WATER
UTILLIITIES 000
❑ OTHER
loor I Upp.r Floors 1 Gar.m Arm
Area of Docks I Finished Baran.nl
Storage
pen, Bammont
No. Bat. No ,toilet No. Rooms ro. of Dwelling)
Roo,. I Roc,. !not Reo d.
Enum. Dln. I loutlon !Areal
SEWER Ownership ma COD!
gala OPNrete ❑
CERTIFICATE
al EXEMPTION
I hereby °arllty that I Neva read and asemined this eppllauUm v' .I hay., quad do #NW lrr nruvHlulls Included
t roverlswa lid., and know the mme to ba true and 0011x01 All pi ovismnt ul laws .1l ill ,nlhnancoe povernals this
type f work will be nulled with whether specihad harem or not. The granting of 1,C111111 d00s nut plxrulllu
t0 plea authority to violate or cancel Ole provisions of any other slaty IF local Lois 'militia, corsfrucuon nr iha
partormanca of construction, SEE REVERSE SIDE FOR REQUIRED INSPECTIONSn
DATE 00 APPLICATION 9 —.T...71?El
SIONA I'U
MECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
in
Engin
1.. VOTTISln
APPLI(AN
Yip_ G,L
FEES COLLECTED
SI al i
Budding
Mombasa
Mach.
Plan Check
SEPA
Mobile Ham
Other ISpecifyl
TOTAL S'7 F�
PERMIT NUMBM
D —' 7D
qa.
_ 07.00':5
97012
09- 05 —'80;.
2 6479. ,; y;
WHI N M.II:11 HO, , lAI III ,f 1I, NtII IS SPACE
111,111 t: •nl L'
00
Y•
sep
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
- 0
REMARKS: