1980, 11-18 Permit: 80B-1484 InspectPERMIT NJ..
jJ013 '74W
LAN NUMPER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 00200 / MOW 9663696
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
OE ADDREss
RLA%r I e�dCr .4
2.
a3 G•f7 I.L t.., J.R.1-ri. rw/
O gE55
F 83//p 7C3o-o:ce Xao i.
�C�} TRACTOR
4 Jnr
ADDRESS
,o/
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
PHONE
2199,20
Actual Set Backs M Fest
5 JSOYM IMI Iwat
iJa of Tone CMMlllullen
Type Coml. Oaupana untrimmed
Dyna ONo ❑ Roo,
valuation Milken. Area In SG. Ft.
Main Floor Upper Floors Om,* Area Stomas
Area o/ CN.
PHONE
ZIP
DESIGNER
6.
PHONE
ZIP
CHANGE OF USE FROM
6.
TO
FInIMee Basement
Unlln. Bassment
TYPE 0 NEW 5 0 ALT. D AWN. 0 R
7. OP 0 m.o. * 0 PLMe.PL.
WORN MECH. 0 M. M,
❑ MVS.
0 POOL
0 OTHER
No. Baths
No. Stales
No. Rooms
No, of Dwellioes
CERTIFICATE
I EXEMPTION
Ise.
Rae. poi Re9'e.
8 Ni x,
VALO5pJgAS ELECTRIC WATEp SEWER
Enum, Olsl.
Location (Area)
Ownership
Publ. OPrivate 0
USE C0DS
I hereby certify that I have read and examined this application and have lead the "NUT ICE" provisions Included
on reverse side, and know the same to be true and correct. All P100101Ons of laws and clamant:es governing this
type of work will be complied with whether specified hololn or not. The granting o a palmi: dons not presume
to give authority to violate or cancel the provisions of any other state or local law regulnilnq construction Or the
-Irformance of contraction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
!DATE OF APPLICATION /0 -G-,qa SIGNATURE OF APPLICANjP/i �>lt2'+tt
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
FEES COLLECTED
SINN d
Belding
Plumbing
6,661.7 t
Plan Check
SETA
Mobilo Name
Other (SWIM
TOTAL 17 414—
04. •7.00
«7.00 IL
1111137
• 10-06-80
A 6470
WIIENMACNINF VALIDATED IN f11IS SPACE,
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK_
FINAL INSPECTION: