1980, 06-12 Permit: 80-890 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
REMARKS:
4%4 2,004-1
rigSprLse Reef)
(l0%c�,491,-.ss. >< - /,aly S.;c✓ ?lam y .Ut /'% �ii•��s
ULAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTYBUIL ING CODES QEPARTMENT
NORTH 911 JEFFERSON I SPOKANE WASHINGTON 99200 / 15091 456.3675
!PERMIT NUMBER
t SI7a
DATE ? -S-V'
APPLICAfN7 1)MPLETE NUMBERED SPACES — PRI -SS 10ARO TO MAKE 4 COPIES
JOBADD�RRESS {{ (('�J���(%A
eL:.Q�SD0C4e4i&
2,
3 n--}b�� 4L • ! e"/
Cor�.R1 oD'i d
4 44RE
D ESIfNER
6' ADDRESS
1"\
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/6
PHONE
91
z-36,16-
PARCEL
-34415
7
ZIP
92.06,
5 In Fml
Noothr� set Ba lSaum IEasl IW..
PHONE
SIN.. Parcel 1 Zona cblsIncation
ZIP
Trite Const.
occupancy prinklerm
Oyes ONe ❑ Reg,
Valuation IBUIWln9 Area In S9. Ft.
ZIP
OWL Arm I Basamant Areal WHS./SIM
Stant.*
CHANGE OF USE FROM
TO
SAM Entry•
Spilt Level
▪ 0 NEW 0 ALT. b 0 AD'N. 0 RPL. 0 MVE.
' womo 0 0I11. 0 VLM6. P.( MECH: ❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
CERTIFICATE
of EXEMPTION
ESC/. ML! / J�/�Ilaf/�
AS IrELECTRIC
VALUATION
Source
Ulllllea
WATER
SEWER
I numbs, Gamily that I have real 111111 /001/01194 INN application and have road the "100 I ICE' provisions included
on revers° skin, and know Ina mom to Ua bon .,n11 019
001. All 191 00 1110 0 6 Df Incas ani H.0hn111AM poi/amine this
typo 01 work will Int complied Will, whatnot galcllicrlh rent ni not, the granting 01 won't does not presomn
to give aulhnrily to vi,,lnti or Cancel the orovitintin of .9 y 0111nr slab r local law to'., construction or the
pin del mance of conun:.nt,,.,,_
OAII .2 84 1, INATUnf_
SPECIAL CONDITIONS:
SPECIAL APPROVALS
DEPT. REPT._ RECD.
Fire etermeo
Co. Enelnmr
Zone ...Hance
Rec'0. Jot Re9M.
FEES COLLECTED
Single $
Building
Plumbing
Mach. 7'�
Plan Check
SEPA
Mob'! H
Daher ISposIfy)
TOTALSL
8894
0,.-115+80
6079.
WHEN MACHINE vIt, tU IN 11I., ,I