1980, 10-10 Permit: 80B-867 InspectAPPLICATION /PERMIT
• SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 69280 / (883) 4843878
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
' JOB ADDRESS S. 3o S 13 .
Z 1 ` y
OWNER
a ADOREESS • 1 r1t te, - I A) Fk i A s
r:D NtTRACTDR
0 Ali
,' A0OR6 Ee�� ,-^-,-4--eL
4' S 3 o y L_n_e.,..
DESIGNER
S' ADDRESS r^
219 Main Floor I Upper Floor. O Area I Storage
■ CHANG80P USE FROM ITO Area of Dacka I FIPI.hM aaeam4nt I Unlln. Easement
& 1
TYPE NEW ❑ALT, gA0'N, ❑sal. ❑ MVE. I No. Btorlaa I No. Rooms 100. of 0walllngs 0 i, Wo00 0 m.o.: 0 PLMS. . MUCH. 0 M.N. 0 Pool OTH[R CERTIFICATE r RN'e. I Rale'e. Wot R.q'd,
�. String WORN
of EXEMPTION
1sT ., cation (Area)
VALU TION
711E (4 31
:IP
S9o3-7
HONE
(L5y• '5t5 Z,
aoCp
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
— a
Actual Sat Backs In FM
�'la. pt Perm !South
T07.Conat. I 0«09.697
Valuation
sPHnkl.rea
❑v.. ❑No 0 R e
olleing Area In Sp. Ft..
a LJ a'r,,,,, OA ,..1,__
P num. Olt 'Location
°` 0. _IA IUTI �IT eel ELECTRIC TRIC ATBR I SEWER Own.NMP USE cOOQ
/� /1 PuallP OPrlvat. ❑
I hereby certify that 1 have read and uisamllled this application and have reed the "NOTICE" provisions included
on r rw
a side, and know the same to be true and correct. All prisions of laws ano ordinances governing this
type of
work will be complied with whether specified he,ein oi not. The granting ul ., permit does not presume
"to give authority to violate or cancel the provisions of any other state ui local law iegsilatlng construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
.DATE OF APPLICATION ! -i a' SIGNATURE OF APPLICAN I , _— ___IIeO
SPECIAL APPROVALS
NAME DATE
En.. Halm
�T snnl00
SPECIAL CONDITIONS:
FEES COLLECTED
Sinai $
Building
Plumbing
MsM._
Pleb Check
SEPA
Mobil. Hams
Other (Spci fur
TOTAL
NUMBER
PERMIT
goz3 -867
•90,
*9.0 G
•9005
*000
866z
09 -25 -80
f 6479.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: