1980, 11-07 Permit: P80B-3425 InspectFLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 16091 4166.2876
APPLICANT COMPLETF NUMBFRI 11 \ C S PRIl2:., ,,I Ttr MAhiF 3 COP IPh.
BLULH I,DNUIVISiUN /2 ,4 1 'Ar_5
OwNER
a ADDRESS
PHore
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S
CONTRAr. // deka
4.
D6 12:1 _ s I- 6444 —�
DESIDISSel
6. ADDRFTD P 1µ1I I
CHANGE OF USE fi)
ZIP
�y 91
TVK EW 0 ALT. 0 AO'N. ❑ RPL. 0 MVE.
' WORN 0 BLD. %avMa ❑ MECH. ❑ M.N. ❑ POOL OTHER
E DESCRIBE WORD
Actual Sat Ela
Size of Parcel
Type Sonst.
s In StutM1" tEWl IWOSt
one classi utton
Occupanq
Valuatlo
Ov-e. OookND Ross',.
Building Area In So. Ft.
Main Floor
Uppes Floors
VALUATIOo OIIOIRCESI
0
iXT4 _frS
ELECTRIC { WATER
I hereby Certify that I have I ui1 and ill this e
IP a v.tt I�I.i
4'1 nl wori, .Intl know the same of he hllb
ty Pe nl k well Un coal Plletl With I10lhl-1 Npel'�I,�.!
10 gem authority to violate or cancel the Hrovislnns .I not IU I.11 la
Performance of construction. SEE REVERSE SIDE FOR REQUI RED INFPLI:T IONS
SEWER
. Stories I No. Room. , o. of Dwelling.
III Roo .
CERTIFICATE
of
Enem. Dl.1. 1 Lea lien (Area) I
USE CODE
Public s0 Private a
5 ngl $
DATE OF APPLICATION
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
o. ng near
FEES COLLECTED
1 lh�s Building
bleskul
b a hn
MOO.
Pion Check
SEPA
Mobile Home
Other CeIN6110
TOTAL
s 1i
P
PERMIT NUMBER
WO 13 - 341-2S'
WHEN MACHINE V• I Inn TCn
•3000
•'111'0..
■00
11 -07 -80
6479
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS: