1980, 11-24 Permit: P80B-4139 InspectPLAN NUMBER
'JOB ADDRESS
1,,Targruftg.
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 511 JEFFERSON f SPOKANE, WASHINGTON 99260 / 1509) .156-3675
APPLICANT, COMPLETE NUMBERED SPACES PR[-S, .‘ 110 f 0 MAKE 3 COl'IES
2.
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
ADDRESS 6-1/6-44
PARCEL NUMBER/5
ZIP
CO:T1Xle,1
4. ao ESS
DESIGNER
5. ADDRESS
"304
PHONE
Actual Sel Bad. In Feet
Nortn ISOutn
Size of Parcel
East ..)West
Type Const.
00Cupenzy
Sprinkler.
Oyes 090 00.94.
Vaisation
Build 09 Area In Sp.
ZIP
CHANGE OF USE FROM
6.
TV'. Mx/1CW 0 ALT. 0 AWN. 0 RPL. 0 MVE.
7. or 0
wow., 0 BLO. 1598-MB. 0 MECH. 0 M.H. 0 POOL OTHER
Gomm Area 1 StOmM
Mein Floor UMW Flo°.
Area of DmIrs I Finial. Basement 1 unfin. Basement
No. Rooms 10. 0/ Dwellings
No. BM. No. Stories
0.90. 9 Val Rep,.
of EXEMPTION
CERTIFICATE
8. DESCRIUEWORIC Emu, Dist. 11-0callen (Areal •
V LUA ION 7'1 IRTCI :S I PLIELECTRIC WATER SEWER Ownert000.1,00 ES, Prb.te 01 066 6006
I hereby certify that I have toad awl examined this appla.ation and have •'NO p.pvtpoi, includud
on reverse sode. and know the same to be true and col rect. All tPovbion.. .11 I..ws povernmq thb
type of work w$11 be complied with whether specified holein oi no, 111' q1.11.11111 1, • 1,•1 110i Ple2l1Ille
10 8100 authority 10 violate 01 cancel the provpions ol any ,■1 11,■ .11 1,1V0 ..,1,111.1011 01 the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSI'LC1IONS
editA:6
110 TZ 01 APPLICA rmN .../4/4/41) _ ell 1,1,1 Al PI '. P.J I 4/e/titZ.Z.,
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
Noah. 2 at ‘' 4 46, A
NOW— ,4 C.E./
ant Examlner
FEES COLLECTED
S
Building
Plumbing
Mech.
Plan Chock
SIPA
Mobilo Home
Other (S990196)
TOTAL $
/9
PERM, NUMBER
8,68 - .L/39
03. .5300
.5300
•53000
*000 0
1 8
11-24-80
2 6479.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: 3 -3 / -c5(
DATE REMARKS:
fl :� Y -Sz% !of�l PL R/ AI etL. /2.41
ae-t 74e0 647/ ig
3- 3/- 5( bi24