1980, 10-20 Permit: 80-8907 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET BACKS
DATE
011111111
TYPE OF WORK
FINAL INSPECTION:
REMARKS:
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH B11 JEFFERSON / SPOKANE, WASHINGTON 90250 / (5081 45&9575
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
#06 ADDRESS
2/ E
MAT
BU IIRUery BIDu «N
ry
OWNER
a 'Z 86er Scc45 JR,
ADDRESS
N.
RA0//S BlL+h
oR
ADDRESS
C
0^90005
OLR1GNER
6' ADDRESS
PHONE
9Zz 3a/3z
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
7- S - 4,1`7/
ZIP
CXXZOC
PHONE
Actual Sat Backs l In Feel
South
North
or Perwl
Iest DRrsln� �o
ZIP
TYPO Const.
Ocuipance
PHONE
Valuation
Sprinkler.
❑V.. 0No 0 R.p,
Building Arm In Sp. Ft.
ZIP
CHANGE OF USE FROM ITO
Mein Floor
4AMa of O.k$
Upper Floors
Arm
Storage
Finish. Basement
TYPE
7. OF
WORN
21'5E0 0 ALT.
ME.
❑ BLD. 0 PL
DESCRIBE WORK
Al�pSOURCE
K
9. v ITAT1 ilE1
0 now. 0 RPL. 0 MVE.
ID MECH. ID M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Room
CERTIFICATE
of EXEMPTI
S7a fet
OAS
Km, Dist.
Rep P.
ON
Lomb. (AM./
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
I hereby certify that I have read and examined this application and
on reverse side, and know the same to be true and conect. All pin
type of work will be complied with whether specified herein or not
to give authority to Violate or cancel the provisions °I any °that star
performance of comtruction, SEE REVERSE SIDE FOR REOUIRED
DATE OF APPLICATION �!'I 'RCD SIGNATUHE OF s
tI
c food Ilse "N1/1Il:l-" movlsmns Included
of lawsand Aurhn. s governing this
e granllnp 0l a it does not pre
IIS Fleet law relnlallrnl c°osiructlon orthe
INSPECTIONS
riiCANI �i�n7—e�e11
V!CIAL APPROVALS SPECIAL CONDITIONS:
NAME DAT
Unfln. Basement
s No. of Dwellings
Rec'o. of Rebid.
FEES COLLECTED
SI gl
Building
Plumbing
Mach. 417. OS
Plan Check
SPA
Mobil. Rom. —_
Other Amity/
TOTAL S
PERMITNUMBER
Bo'Amri
0 s A7.p0
+700
80062
08-21-80
y 6479
�4`r