1980, 07-18 Permit: 80-5673 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
7-0=0
REMARKS:
Ld4'J l� i re
24 re' 104/
Y
PLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 l6FFEMON / SPOKANE, WASHINGTON 99266 / 16061 K6 -9606
APPLICANT: COMPLETE
JOB ADDRESS di _Q
1 PCGT I °LOCK •]F�l$(I,O(N�r
pe2—/leCP214. w
ADDRESS
P. //G 47 i
CONTRACTOR
4. se N q'L'NL
Aq Ess
J•cIA ILExJ
NUMBERED SPACGS — PRESS HARD TO MAKE 3 COPIES
t1 (
PHONE
q2.(•3/
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMSER/S
ZIP
oPHONE
Actual SN a6
B n Feat Ida
N l'South IEOtn tIVOR
SD* o r Parcel . asnuN,
ZIP
Omp
DESIGNER
PHON
Valuation
Dv.. 090 kl0 0.0 4.
Building Area In S9. Ft.
DDRIM
00*909 Of Ual FRC M
e
O
ZIP
alp Floor Upper Plows
Area of 00 Plows FlnNI M iawm.n.
Garen Area
0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 PAVE.
04090 0 RLD. 0 PLMS. 0 MECH. 0 M.H. 0 Pool_ 0 OTHER
SOURCE
— UTILITI[
lELEI WATER SEWER
StMage
bfntin. easement
0. Rath. I No. StOrlea I No. Room. I00. of bwelllnkr
CERTIFICATE w a. RN a. rot Rw o.
of EXEMPTION
En.m. Dirt I Location (Areal
Ownership
Pub114 0 Prwale 0
USE CODE
I hereby certify that 1 hew, Iv.! ,7,771 eealnn,ed This ,ned the "NOTICE otuvisiont incluJed
on se side, and know the sense to be Iru9 and e.11recl All 1, .uusione of laws anti „ ri ces governing this
Tyne or work will be com0hed wan whethel specified on,n. , I. v granting 07 +bob, a'�does not pr..ume
to 910• authority 60 violate or cancel the provision, of env .. .h,h' ,,, 100.1 law re0nlnt'•n1 ..,,0strp0tlon or the
performance of construction. SEE REVERSE SIDE FOR REOUIRFO INSPECTIONS
GATE OF APPLICATION 4-//-f0
SPECIAL AROVALS SPECIAL CONDITIONS:
NAM[ R OATS
Fn. r,eal,h
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
$EPA
Mobil. Horn
Other 10007tyl
7 0U
TOTAL R2
WAIT NUMBER
h• •700
•700 0
6 1''1 21
06 -12 -80
k 6479.
cc