1980, 08-13 Permit: 80-7735 InspectIFr1nN NUMBER
—
;°: ., isu . tinel OWNER
a
ADDRESS
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 1ft1 JEFFERSON / SPOKANE, WASHINGTON 88380 / /SOS} 460-3875
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
coNTRA Iya �� CJO KSi.
ADDREss
,da i sPr,L�w�
E AooRE t ' DX / 109
CHANG OF USE FROM 11TO
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBERS
ZIP
Actual Sat Backs In FM
Sim oI Parcel sown I
Tn. Classification
Oval
.I ❑NOk0 Rw'a:
TVPE y, NEW Ci ALT. 0 AWN. 0 RPL. 0 MVE.
7. WORN 0 ILD. %y,� B. MECH. ❑ M.H. ❑POOL ❑ oTHlR
DESCRIBE WORN
7/ P../ x 13.-rG3
OAS ELECTRIC WATER SEWER
I hereby certify that 1 have read and examined this application and have read the "NO111.1 -.' I,:uvisione included
reverses side, and kw the same to be true and c nnct All n ,��, 01 Taws and n„ IJnmlces governing this
type of ork i l l be complied with whether specified herein or „ 1. The sm noting of „ untold sloes not presume
give authority to violate or cancel the provisions of any other slam o, local law tII: I,y colietructlon or the
performance of oonnruotionn. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLIAATION 7 ,A.R /id
VALUATION SDUpRyy;E I
5. VALUATION'
Building Area In SR. Ft.
Main Floor I Upper Floor I Game. Area smopa
Pau of OW. I FInINW Basement I Unfin. Segment
No. CERTIFICATE
Btplu I Rep'p Rooms tl of � Reio''d,
of EXEMPTION IJI IC
Enum. Dist. I Loudon lAru)
51100 k ❑
Use CODs
•le ❑
SPECIAL APPROVALS
NAME DATE
Eev. Hee
Running
FIr Marna
p. Enolnur
SPECIAL CONDITIONS:
FEES COLLECTED
Single •
Sending
Plumbing t3/2„7J
MMo.
Piers Cheek
SEPA
Mobile Home
Other ISpeeilvl
TOTAL S 349,5-0
PERMIT NUMBER
8a -7?ls
03« •3050
•3050 8
.30503E
E •000 8
77342
07 -28 -80
d. 6479.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATES REMARKS: ,o
745' � /� //-ems /t ' i