1980, 11-06 Permit: M80B-1337 InspectionPLAN NUMBER
APPLICATION /PERMIT
SPOKANE COL NTY — BUILDING CODES DEPARTMENT
NORTH et'JEFFERSON / SPOKANE, WASHINGTON MOO / 16691066-36)6
APPLICANT
z
COMPLETE NUMBERED SPACES - PRESS IIARD TO MAKE 3 COPIES
Jpe ADORESs
3 J// GuSTA
LOT I BLOCK Iel1HUIVIaoN
r G/�
OWNER
3. / kaa N k/■SNDaR<r.
ADDRESS �/r
6 •
AV,/ I9 !taws
CONTRACTOR
4.
9rZE 0832
ZIP
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBERS
Actual Set Backs in Feet
'South
e• of Parcel
zoM cM Wmauon st
DESIGNER
6. ADDRESS
PHONE
Type Canrl. I Occupancy
Aoo
❑v.. ONo Sprinkler. R.o'a.
Bull.. Are In Sp. Ft.
ion
Upper Flop
see
CHANGE OF USE FROM
6.
TO
TYPE Epw. ❑ ALT. ❑/AO'N. ❑ RPL ❑ MVE.
P
7 WO
• RD ❑ BL W MD. ❑ PLMB. ECH. ❑ M.H. ❑ POOL
❑ OTHER
No. BathsD.c1 a N I. Stal., a NO.eRO Ima Ul[50. 0 aDwellings
R000. Roe A. EVOt
DESCRIBE WORK
8. lc.boO <.y / .41-p toe-
VALUATION
SOURCE I OAS ELECTRIC
Q T■LOITIES
ATER
ER
CERTIFICATE
of EXEMPTION
Enum. Dist. I Loatlon IArul
Ow
Public 00 0 'Prlvem ❑
116E CODE
I hereby certify that I 11400 reed and 0KO11loned this anplwatlun and n.Ne read the "N11 ■ Il't" IsluvisionS inCluded
on reverse side, 'and know the same to be flue and col uc,l. All muvlcunl:, ■■1 law; :ol,l T■,■ihnn:es governing this
type of work will be complied With whether smlclllnd hurelll ■,i .1. rho prarHlnq 01 a llnrrnn Bo05 not mesuma
to give authority to violate or cancel the provlslons al any utilel stale so local law rudOl. rope construction or the
performance of construction. 866 REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE Of APPLICATION
alt CAN
SPINAL APPROVALS OFICIAL DO6IOITIONSI
NAME DATE
FEES COLLECTED
SI plc S-
Building
Nlanbbq
Mech. l %. Ov
Plan Check
ISPA
Mobile Home
Other (Speedy
TOTAL B 1.0.
WHEN MACH Mr vfl ln:∎rl lr ln; 11, SPACE
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W
SET BACKS
FINAL INSPECTION: //-4, i- //z4v( XIV
DATE
REMARKS:
.5- - 4
!J4th17
l