1980, 10-03 Permit: 80B-0028 InspectPLAN N�
��� APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1600) 456 -3676
APPLICANT. COMPLETE NUMF!F,FIv„5 +7tti
JOB ADDRESS
za
i
Pet lr
3 DR e p
c y nr'Rw a4.a4.1- -- +.r1 D /'L /t uP .
4. CTOR
ONE
G 22 —2! /.0
ZIP
49.21.-
' /1113 IO MAKE
0OPT)
LEGAL DESCRIPTION - SEE ATTACHED
C NUMBERM LJ _ �",
,l 1 /a f34_JC ro ' /40266 5o,3
CF rR4oT$ ,7 -zo rREwrN,noo ageN O
PHONE
Actual Set Backs In F
001 ISOUtn e
Size D Parcel /
x/2-D
il.
est
ZOne C1atnlingon
C(li rsff�
❑Yea One ❑ R
1376 Area n
Upper Floors p ara. Area Storage
DESIGNER
6' ADDRESS
Type COnn
PHONE
wamn O
JfpOD'L
ZIP
Main Floor
• CHANGE OF USE FRO
a
ITO
TYPE ❑ NEW ❑ Ali. ❑ AWN. ❑ qvl. ❑ RAVE.
woRN ❑ BLD. U LOFIRT/O5 CIEE0
{IT 1 PL61 B. 0 MECH.. 0 a IC
❑ OL 161. OTHER
,e1-
Q Doiiiiiirr AR
ATER
Sole
pr a of Decks I FInIMso Basement I Un11n. 6aMment
0. B. h. I No. Stories J RNq jeom. raw Of 00.1111..
CERTIFICATE Recd. Ih a ot R o a.
of EXEMPION 6,
um. OBI, ILOUIIOn (Arm) FEES COLLECTED
Ownership
Public ❑PIN.. (11
LAE CODE
I helelty P . tits, ( 1 1 .1 1 I (lava 1 01) 11 1 1 1 1 u n i l , . I i � . � . � , i I ,i 1 ,I■I1u11
onroe a6e know 'WIN 10 He 1
type 011 wolk 0111 1 OIIIJIl.1 01111 w11nlfe■ .. ■■■ � 11,. 1 I 1 1�
to 9)06 authority lu v 01010 or ea11C01 Ills 11Nw riy k I 1 Nn] .I 11tH.
p•rfolmane• of c0neb0Ctlon SSE REVERSE SIDE FonIREOUIREU INSPFI 1111N /I
DA r0 OF APPLICATION ..9 —f� =y
SPECIAL APPROVALS
NAME DATE
Ens. sinanh
10 0
SPECIAL CONDITIONS:
�f l aG way - 11246,- /9 rryu�a
�. - P4.4. -
• /�-G(Y A, l JL�F'NK- • -AtJl U�^^'
E •1
Bulking fit, �—
Plumbing
Mech.
Plen Check
8EPA
Mobile Home
Other (Specify)
TOTAL
EAR -�
6o I3 45226
•41100
•61(00 0
•68008
•000 8
04 -11 -80
.7 6479.
OWNER
INSPECTION RECORD
CONTRACTOR
LOCATION
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: `/ ( (i2�
DATE REMARKS:
CC
-5--151) �1 /u�'K iir/( ;741,t/ 5 0cf '` Z!
J`
1 -A "( /Arita, dam` pk-r -e. s
114 c?cc liar r
-2r4, (t9 g/iW te.iv 4-., c. e
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