1980, 09-24 Permit 80B-760 InspectPLAN NUMBER
1L- 7l4 jz,80
Basic Pian
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE. WASHINGTON 99260 / 16091 0662616
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
• ADDRESS
t.
V. /20 R-r.cs G'T -
i
4/FPW . Coe.ur».Bria ...goo „O..I
{HONE
3. Nor/ Con.,s' >Rar>iaw
ADDRESS
�CLON TRACTOR
G. SAr.GCr6
4. ADDRESS
SAns6
LEGAL DESCRIPTION — SEE ATTACHED
G )//1
zz-4b87
2/6
PHONE
PARCELNUM6ERB
/85j/- yzo4
Actual Set Becks In F.
Isoutn 7 8 ' E. 101 (waft I Z.'
Size of Parcel
q.. rsr /
n,t. OucuWO, Sprinkle.
Ove, ONo O R.P'o.
BuIMInP Arm In S0. Ft.
Zone clasFUluuon
ti
6.
DESIGNER
PHONE
ADDR
33, o�
r I D_ Floor, Geroge ! Storage
864
CHANGE OF USE FRO
6.
TYPE Itl NEr
WORK V.'.
0 ALT. 0 ADM. 0 RPL 0 FIVE. 0 OTHER
❑ PLMB. 0 MECH. 0 M.H. 0 POOL
No Batt, 1 Noz tole,
CERTIFICATE
bent wry,. asement
o. Room, No. of Dwellings
of EXEMPTION
DlSCRIBE WORK Enum. 00). !Location IArml
WATER SEWER OwnennIP USE CODE ari SE/orrc Public 0Private
I hereby certify that I have reed and akamlned this application and nave read the "NOTICE" provisions included
on 0009 r se side, and know the Same 10 be true end Cunecl. .11 1',001510m 0f 1200 and n?dnlaOCes lOVernlng this
type of work will be complied with whether specified herein ..1 not. 1110 granting of a pe1m11 does not presume
to glee authority to violate or cancel the provisions of any 011111 state of local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
I3ar17s7
VALU TIONI E GAS ELECTRIC
3or'I' Iuil[s�
DATE OF APPLICATION
SICNA TUNE Of 0111/1 "NT
SPECIAL APPROVALS SPECIAL CO0DIT10NS:
HAMS DATE /41 oN 094e
�.rsic3a n
9 /sue
R. d. Rec d. ot .a O.
FEES COLLECTED
Single •
EulMinO 21O. 00
RumbInN
Plan Chock
6EPA
Mobil. HOm.
Oth.r IE.eclfyl
TOTAL F 21 0
021 •21000
•21000 6
*21'0008
A 1000 8
4658
09- 18L80
2 647 '9.
OWNER
INSPECTION RECORD
LOCATION
CONTRACTOR TYPE OF WORK
N S E W
SET BACKS
FINAL INSPECTION:
DATE
/ fG
REMARKS:
,-,-", '-`,:4,,--ig 7;;;;
//
/1-7
�7,_, /lam:, //�Qe