1980, 10-30 Permit: 80B2813 Inspector,LArn NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
monTrr 11.1 JEPKERSON / SPOKANE, WASKIrNOTON 9E260 / IS013/ See -S076
APPLICANT: COMI'LL rr NUIVIOI Oi 1I 31' 01 t 3 - P111 In MAI(E 3 COPIES
JOB ADOREss
LOT OLUl s m.,v�
z
OWNER
S )Br3ea
CONTRACTOR
4. SHHf'M-
5A/JlE
LEGAL DESCRIPTION — SEE ATTACHED
PHONE6/3
-sr.4�eR
PARCEL NUMBER'S
�2G{�Nerlt. 1501E111
Actual set Bac. IP Feet
East
[west
PHONE
50e of Parcel roue Classification
ZIP
Type C01151.
occupancy Sprinkler.
❑vas ❑ o ❑ Recta
DEMoNER
6' ADDRESS
CHANGE OF USE FROM ITO
6.
PHONE
vamatlon
ZIP
Upper Floors I ara.a Area
Storaye
Area of 011055
FIR11111.1 Basement
Unfln. Basement
0 NEW 0 ALT. ❑ p O'N ❑ RPL
7, OF
ORR BLO. ❑',ma.- MECH. ❑ M.H,
❑ MVE.
❑ POOL
0 OTHER
Na Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Roca. Plot Roo,.
DESCRIBE RR
a k bonOrJ?
Bsr
VALUATION
9.
ONii r OAS cul ELECTRIC
Elle, 0151.
WATER
sEWER
ownership
Lout. (Ane)
USE CODE
Puhllt ❑P.N.s. 0
I IN,11.1y tr I,tv Oh, I have Iran ,lin •I i
011 ul kllrrw the „ ie ,•, „ •,
IYPeeot work w nil'IieU 1.011 n11,11k1, '.11,011,1
10 rutin authority t0 v1031ll• n Ilu, I,
Perrormanee of construction SEE RIM IISE 511)1 F(m 11E01)11110 INSI'I C111)01,
DATE 01 nI I n T I ION _
SPECIAL APPROVALS
NAME DATE
Afro 1T1u
7iTiMrtt
SPECIAL CONDITIONS:
FEES COLLECTED
5 pie $
Building
Plumbing
T 7.00
Plan Check
$EPA
Mobile Ham.
Omer ISPecrly)
TOTAL $ 7, O&
N
AHI u
111-28-80
o0'/9
.7,000
•000 £
w11[ N 41,0 11 li 1 ,I
•
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
TYPE OF WORK
FINAL INSPECTION:
SET BACKS
DATE REMARKS:
1
J