1980, 05-23 Permit: 80-4888 InspectPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 90360 / 1608) e511-3815
APPLICANT COMPLETE
NUMBERED SF ACES PRESS HARD TO MAKE 3 COPIES
1.
Jfiee REFORMSy(yJ�
LEGAL DESCRIPTION — SEE ATTACHED
2.
3.,C 40.kODRESS
s3d4aE�y%
9.4
4. A R
PHONE
4-49175'
ZIP
PARCEL NMMBER/s=p1S93—/oWV,
tors J--L-711-E./SrAlrb
6YC. 5.40 r•5XC. C4.1¢/W
perrMAN OD
North
At nal Set eni etn� Isofl,� Iw.
PHONE
DESIGNER
6' ADDRESS
ZIP
PHONE
ZIP
SI. of Parcel Zone Classification
nee SprIn�afLd'il Niered
u .�...Q
Dees 0No Roo,.
V I
CHANGE OF USE FROM
e.
TO
a .2.000
SWISH. Arm In Se. F 008 I.
Male Floor I Upper Floor. Gersee Area I Storage
Area a1 Dees FInIR1eeen Unfln. Easement
/000 �
°p ❑ n ❑ ALT. ❑ AWN. ❑ RpL ❑ neve.
7. OF itiL
OTHER
WORN❑ ILD. ❑ PLMIL MECH..Q POOL
.11,
B 111 1s"'_7(7swLE/2""V W
&WOLIldLou00(Ares
ey 0�4�jIRESOAS WATE)
No;Eeln. I No. Etorl«
_
CERTIFICATE
of EXEMPTION
N�oy(Rooms INt of °Hoeing,
file. .1 Redd. pot Ree'd.
X
lelle ORIWI. .
I hereby 2)02? ly that I 1111 41111 opanpootI Ih s dIPhcalnln "nd d,2 Ili. i 11 1 ' Prnvlslcns moudutt
on reverse stele, and know II' to ht' 1 . MO le, All - .a 12, „ I 1 •I s gov Inq Ohs
type 03 work will be C nhi,I,rd wnh whelhnl sl,rt 1lhed hele!h „ ' ., nintndoe Blr n.1e11010
20 give authority to violate 21 cel t1.' uruvIu.ona ol
any
otkel .;II law a nit 1. 1111 .nalruchon -11 the
performance of consiruchon SEE REVERSE SIDE FOR REQUIRED INSPEC/IONS
DATE OF APPLICATION_5 ,LL_8�. C11„rl,. UNk l,I nil ,. .N� ...
SPECIAL APPROVALS SPECIAL CONDITIONS!
NAME CATS
Foe Mn„nen
PId.., t xae,,,,e,
FEES COLLECTED
81 81 YS
Building #3.2.0
Plumbing
Moth.
Nen Cheek
*IPA
Mobilo Ho e
Other (Specify)
TOTAL 8 9.Z'�
PERMITNUM.ER
•3250
•3250 E
•32508
0000 8
4 P 7
05-16-80
r 6479.
WHEN MAL111r11 I IUw11I 1' ?MS SPACE
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
17,0n