1980, 09-24 Permit: 80B-759 InspectBast Plan
9/r3/c43 SPOKANE ING CODES DEPARTMENT
NORTH 811 JEFF E:' • SPOKANE, WASHINGTON 89260 / 1605148&3676
ESS HARD TO MAKE 3 COPIES
APPLICATION /PERMIT
COUNTY — ILD
APPLICANT: COMPLETE NUMBE
OWNER
3 O
ADAESS
es. /2
CONTRACTOR
4. S i. .
ADDRESS
SAfi�
DESIGNER
6.
CHANGE OF USE FROM
r.
SPACES —
AUFIIIEW
•
PHONE
TYM Cana
LEGAL DESCRIPTION — SEE ATTACHED
L NUMBER/&
`45:57 _4'2Oy
Actual Set Backs In Feet
orth
ZIP
PHONE
ZIP
TO
TYPE KNEW 0 ALT. 0 AD•N. 0 RPL ❑ AWE.
7. F 11
WORK CJ BLn 0 FLMe, 0 mem, ❑ M.H. 0 POOL ❑ OTHER
DESCRIBE WVHK
VALUATION
33 Soo
SOURCE
UTILITIES
OAS
ELECTRIC
Arm BO of Dec.
No/ amt
Oa MOO
Uppe Flo°
• Clmnuuon
.5 L-P7OFft
SprMlalered
Dv. Ono 0 Reg,
Building Arm In Se. Ft.
El6
Gs me A M
FinlMq Basement
o. stalls
Z
CERTIFICATE
of EXEMPTION
storage
o. of Oweillnes
Loudon (A ea)
USE CODE
I on hereby / /da one URlvate 1.
v certify that 1 have read and examined this application and have teed the OTICE"
side, end know the same to be true and Correct. All I nces g000 Included
type ofrwurk
will be complied with whether specified herein or n01v1 Thees ra Jews .nd perm t do governing this
to give authority to violate or cancel the provisions of any ocai law re a pang c does not presume
the
performance of conatmatlon. SEE REVERSE 810E FOR REQUIRED [INSPECTIONS egulanny construction or the
DATE OF APPLI('ATION
SPECIAL APPROVALS
NAME DATE
Tae 2
SIGNATURE 0
SPECIAL CONDITIONS:
rGSrVG IAU Fc.ly-
APPLICAN
✓ ee
FEES COLLECTED
Single S
Building /O.pp
Numbing
Mech.
Men Cheek
SETA
MOWN Nome
Omer ISyeeltvl
TOTAL S 2/C".0
WHEN MACH IN F VAL IDA I FU IN III IS 8PAC
PERMIT NUMBER
e3bZ3 - 7$
02• •21000F
•21000
•2100015
A •000 8
4644
09 -18 -80
4 6479.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF RK
FINAL INSPECTION: j G
DATE REMARKS:
.l`
( Se SS 7sG lyy �{ C S /7 cieT. Gf/ )ck/C 5' i!/ /A:" 5,77e
ADDRESS
PERMIT NO.
SPOKANE COUNTY
BUILDING CODES DEPARTMENT
CORRECTION NOTICE
This work does not conform to the requirements of the Bui +ing, Plumbing and
Mechanical Codes in the following:
G `1
DATE:
For further information call Inspector
4:00 PM weekdays.
at 456 -3675 between the hours of 3:00 PM and