1981, 01-12 Permit: P80B-4141 InspectPIPE0M 43h1713.4ERI 41.4
03. +53001
•5300 0
•53000
A +000 B
41402
11 -24 -80
2 6479.
PLAN NUMBEI - - - -1
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APPLICATION/PERI IIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99280 / 16091168 -0876
APPLICANT. COMPLETE NUMBERED SPACES PRESS I IAHD TO MAKE 3 COPIES
JOB A
?LOT BLOCK A1131%It/N'
OWNER
a ADDRESS
CON= B '
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
ZIP
PARCEL NUMBER /S
ctua sat Racks in 'South IEast lwest
Norm
DESIGNER
PHONE
FAIY 3yz3
Sloe of PM.
TYPO Conn I Occupancy
Zone CNDlllmtlon
KI
Oyes Ono D Rao'tl.
valuation (Building Area In Sp. Ft.
ADDRESS
CHANGE OF USE FROM
ZIP
main thoor
Upper Floors Garage Area I Storage
'TO
Area of clacks
Unfit, Basement
TYPE
7, OF
WORK
C$NEW 0 ALT. 0 AD'N. 0 RPL 0 MVE.
O OLD. 42'PLM9. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Storlas
DESCRIBE WORK
a VALUATION
8.
uTl RCES� Q
ECG TRIO
CERTIFICATE
of D
EXEMPTION
DM.
'Location IAMH
En u .
WATER
SEWER
Public O Private ❑
USE CODE
No. Rooms ro. of Dwellings
Roca Rec0. Irvin
hereby 0011110 that 1 have lead and •xanunerl this uplilic,llInn acid have: toad the "NU 111,1 " ncluded•
side, and know the same , be u e and a tell. Al) p10 lsions 01 laws lnd . s 9uverning this
type of work will be complied with to be lixieiu ni caul. The Ilretniill OI a 'i ll�ni does not pie
to Rive authority to violate 01 cancel the piovisioies of ,eiv 0lhei stale of local law ie!a,l.,, ine I-,•n..Iructiol 111 n
performance of constnlcnon. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DA PE 111' ,rl'PLII'.A I I I I N _ ///2././. .a,N,r hill it irl',p tIlAN Ifer tieeO -C
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Z w«
Z .S k�'a -k!t-
/4lv U
FEES COLLECTED
5' 91 $
Builtlinp C!{�
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
'Other (Sp.cifyl
TOTAL SS3 0 /a=
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
FINAL INSPECTION: 4 at 4'7 /71-4'' -1 "I"`V
N S E W
SET BACKS
DATE
o
REMARKS:
64' 8— f 74(
Po