1980, 10-06 Permit: P80B-1304 InspectFEES COLLECTED
Si 11 $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other lSPeclfyl
TOTAL $ t °DrS�
p
PERMIT NUMBER
09-/'0
03•
•35
•3p55
•355
• 000
I IA'H
10 -02 -80
6679
1 =LAN NUMBER '
APPLICATION /PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 511 JEFFERSON / SPOKANE. WASHINGTON 992130 / (509) 458-3515
APPLICANT COMPLETE NUMBERED SPACES - BI i LSS' IARD TO MAKE 3 COPIES
JOB ADORE
3.
LOT
OWNER
BLOCK I5,a O7 N. A 1"ac5
PHON
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBERS
ADDRESS
conrggtD // (iOKSi.
A q DR/NVE55
OESIONr
B.
"TV. :12 ex 146
CHANGE OF USE FROM
6.
Actual Sat Back. In Feet
North 15061n
Size of Parcel
Type oCoel. I 0cm...he
wa
otlN cLmnratlonsl
Spineereo
Dv.. DNo 0 R.R•5.
ng Arm
JO TVPS ;P' CW 0 ALT. 0 ACPN. 0 RPL. 0 MW E. 0 OTHER
WORR ❑ BLO. pe.EFMB. 0 Macs. 0 M.H. 0 POOL
DESCgIB! WOgR
- 1TR,-ATIONIUTIL CLI OAS I ELECTRIC WATER
alt Floor 1 UPPer Floors
a Area
Stof age
Area oa Deck. I FlnIHNO Basement I Un1In. Omement
o, aetne 1 No. Cedes o. Room. INO. of 051,11 n,,
CERTIFICATE Raoe I Amt `lot RWO
of
CERTIFICATE
Erns , DIM. I Loudon (Area)
EWER
Public l7 Private 0
USE COOS
I hereby certify that I Nam lead and evaluated IhB application and have lead the "Nil, II'I
on side, and know the s u to be true and c nab All pluvlsinns 01 law, PO indnl.aneus governing this
type oftswork will be complied with whether specified herein to lint. The granting of :■ perm: does not t presume
m give authority to violate or cancel the pr00111Ons of any other stale 01 local lawny au tang construction Or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO qty ,7 /��p
OATE OF APPLICATION -- J C�'I I CNA IUNE r n APPLICAN-Id ' grad`
SPECIAL APPROVALS
NAME DATE
BrFairl.;
SPECIAL CONDITIONS:
INSPECTION RECORD
OWNER
CONTRACTOR
N S E W
SET BACKS
LOCATION
TYPE OF WORK
FINAL INSPECTION: ' / "�
DATE
/l
REMARKS: