1980, 03-21 Permit: 80-1703 InspectPLAN NUMBER
•
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE. WASHINGTON 00160 / 160011668016
PERMIT NUMBER
—7-747k 1103
APPLIOANTI MPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
. JOB ADDRESS
IS L soN
LEGAL DESCRIPTION - SEE ATTACHED
2:
3
'4:.
OWNER
17A4YL Snt_6.5
ADDRESS
I427- 0 13CtAF(
CONTRACTOR
06111 taw r h0C
PHONE
9x4 -48L
ZIP
94204
:a534-74411
PARCEL NUM ER/S
02o - /Y
North Iree Sat eaef'SouthIn Feat IWerl
Siva of Parcel done Classification
6.45144'
DESIGNER
PHONE
Type Cong.
Occupancy SOrinklame
Dyes ONO 0 Ran,
Valuation IBullelna Area In 55. FI.
g ADDRESS
ZIP
OWL Araa
Basement Areal Caraas Area
storage
CHANGE OF USE FROM
TO
TVP! ' 1 NEW 0 ALT. 0tes AWN. 0 RPL
% OF
wonK 0 DLO. 0 ELME. M MECHI 0 M.H.
0 MVO.
0 POOL
0 OTHER
spill Entry
Split Laval
Rancher
NO. Baths I No. Floors I No. J Rearm! I Rec. Room
R cd. `101 Ran'e.
CERTIFICATE
1 EXEMPTION
fi tb sTki.: t0•D 8HWJLN Stood
VA UAT ON bourse OAS
EL[CTRId
WATER
SEWER
I hereby certify. thab4havo rood and exemined.this application.and.havuaad the "NOTICE" pravisiontIncludod
on reverse sido,. and know the some to be true and correct All provisions of laws and ordinances governing this
-iypi Of .work •will'. bo L'cihpiled with whether specified herein or not The granting of a permit does not presume
to give autTiorfty to wOGi or cancel the prows -MS -VI 0h7 31N8r ocal'law taring construction or'the
performanc�e f c nstruction.
/may•.. _..
DATE %PO SIGNATURE
M1C1AL-AdPROVALE
'1188'8.
RECD.
E nv. Health•
ronnins
P IM Marshall
Co. n0r
SPECIAC'EDNDITIONEI
Utilities
Zona CI ..... se
FEES COLLECTED
e.
Single E
agile
Building
PlumbIno
Mach. 1.40
Plan Cheek
8EPA
Mobile Hems
Other (Specify)
TOTAL S •®b
DATE 3/3/30
oft. .7.00
07.00 E
•10008
E •300 £
17020
03-03-80
Wuo4 ueruluc Vn l r_ .1 _T'••" -•^•"--
INSPECTION RECORD
IllOWNER
LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
3/-z/e - %�'. 718%80