1980, 06-26 Permit: G80-4199 InspectionAPPLICATION /PERMIT
I SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99280 / 16091 456 -38]5
APPLICANT: COMPLETE NUMBERED SPACES — PRf 5311: 111) (O MAkE 3 COPIES
JOB ADDRESS
1.
r LOT I BLOLK I9UHDIVmoN
2.
a ao AO ,9-/a Ai a'
OWNER
3 /riRied / n &
ADORE
Qf Xi CON AC R
Q 37o 7
PHONE
CESIO
ADO
CHANGE OF USE FRO
TO
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER /8
Actual 6 .a<kII21099? /- ASOU E I
.<M venI.eRN�110
RAW. Size
PHONE
ValuatIO
sorromeres
Oyes e On :0 �a.
.0.9
ZIP
a 100
Upper Floors
Storage
OF. 0 NEW 0 ALT. 0�AD'N. 0 RPL. 0 MVE. OTHER
M4t
,NORM ❑ OLD. 0 PL
S. 4ECH. 0 M.M. 0 POOL
DEECRIEE WOR16.44484.,
VALUATION
STOA EEI I ELECTRIC I WATER SEWER
Area of
Un4n. !Warm
CERTIFICATE
of EXEMPTION
Dorm, Dlst. ILgutlon (ANN
USE CODE
Pu 1c
Ownership
0 P.Iva0 ❑
sRel ao. 01 OWellings
Rep e. I rot Rued.
hereby r: s Illy 1 h I t I have read and a ned This apphc re
atlon ills(I (' ad Ilse
al reverse
side, and know the same t0 be f t
and r eCl. All n(1 nt 1010 a,
ype of work will be compiled with whethwhether s 0rdled helem o \ The giant((,(, or.
0 give authority L late or cancel the prowsinlls of any other sta a or Inca( law i,� p
arformance of con8chon. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
MATE OF APPLICATION
SIGNA rII RE Or API ArII
clrldcrl
•,gavar ring this
•s no Mlle
arm, oFr .a rllr.
SPECIAL APPROVALS
NAME OAT
raw
SPECIAL CONDITIONS:
3a. soo . 8r6'. A‘ Wa /T
y
PERMIT IS NUN I HANSFLfirrlll
FEES COLLECTED
single S
Building
Plumping �/J'J(,/sy/1
M.P. /
Plan Check
SEPA
Mobile Home
Other (Specify) �Mv1
•
TOTAL
FIT N # I- 40 —HI9
CU• *9.00
•900 w
•9000
*000 8
5198?
05 -01 -80
6479
!'5 -L l -r
OWNER
INSPECTION RECORD
CONTRACTOR
LOCATION
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARK
7*.