1980, 08-04 Permit: M80-8047 InspectPLAN NUIrCR L
le C
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH eft JEFFERSON i SPOWIONE, WASHINGTON IMMO / (609I.aaaeT6
APPLICANT: COMPLETE NUMBERED SPACES — PRESS IIARD TO MAKE 3 COPIES
Jos wooR
/v
w1 I . 01,6 u0DIV1s1DR
2
LEGAL DESCRIPTION — SEE ATTACHED
FITRACTOR
4. DESIGNER
6
ADDRESS
7' 6
19,206
97s'
PARC ELNUMBERM
Actual SW Oa In wit
NorthNe or Parcel I$outn
at
Y7ao 6
PHONE
Type coag I Owtmancy
ValuatIon
Sorinklame
Dyes DNo 0 Rao,
Menne Arm In Sy. Ft.
CHANGE OF USE FROM JTO
IS
ZIP
ain Floor
Upper Floors
Omega Arp
Mises
Arm of Doc s
InIMW Basement
Unlln. Basement
), OF
PE 0 NEW 0 ALT. ADW. 0 RPL. 0 MVE.
WORN 0 DLO. 0 PLM.. 0 MECH. 0 M.H. 0 POOL 0 OTHER
No. Storlm
CERTIFICATE
OSSCR E WORLt /, of EXEMPTION
) Enum, DM. ILoutlon (Arm)
IO O RCE �— q ELECTp:c \y—�Ep—�.rjl()O
FEES COLLECTED
0• UTILOITIESIII
O. RoOma No. of 00.111nga
s.'E.
ATER SEWER OwnarmIP USE CODE
Public 0%NM* 0
I hereby certify that I have lead and a am ned this application end h lead the "N0l 11 L
se side and know the same to be true and comp.,. /01 n poeS goeens Included
this
typeMI ofwork will be complied W. whether specified herein O .. V I he granting of nper rnrl does uetrlrmy tme Building
10 giveauthority to violate of cancel the provisions 01 tory other stale 0r local law regbh. inn constructio presume the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
GATE OF APPLICATION
SPECIAL APPROVALS
NAME GATE
Snv. Hmlth
Nanning
Fire M.IaOa
Co. Eng
_— JI UNATORE OF APi•LK :ANTS_.
SPECIAL CONDITIONS:
Mach.
Plan Cheek
SEPA
Mobil. Home
Daher lSpecify)
TOTAL S
PERMIT NU BE
04. .9.00
•A00. Gr
•9008
0000 8
80402
04-08-80
2 6479.
OWNER
CONTRACTOR
N S E
SET BACKS
DATE
INSPECTION RECORD
LOCATION
TYPE OF WORK
W FINAL INSPECTION: