1980, 10-15 Permit: 80B-1943 Inspectr-
•
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH ell JEFFERSON / SPOKANE. WASHINGTON 90260 / (608) 450-3676
APPLICANT: COMPLETE NUMBERED SPACES — PR
SS HARD
TO MAKE 3 COPIES
JOB ADDRESS
7. {1 ( 6 PO B OfV
Lor I WEK sVDtvlsl
LEGAL DESCRIPTION — SEE ATTACHED
C9D"
CONT
RAt� ..e��Y �1,H $ aC,.,,J CNA
DE�I�NER 22-n -
el.
ADDRESS
PHONE
ZIP
PARCEL NUMBERS
PHn`o'NE
ZIP �Q-19:1RO
Actual Set Backs
In F et
as 10ast
Size of Parcel Zone ClessIllutIon
Type Const
OccuWRpy I k1
s es.
Oyes 001,100 RecE0
PHONE
Valuation 10011eing Ara In Sp. Ft.
CHANGE OFF U$ OM
a V
ZIP
Main Floor I Upper Flows Garage Area
Storage
TO
A/J
Area of Decks
FInlatv10 Basement
Unf in. Basement
TYPE O NEW 0 ALT. 0 AD'N. 0 RPL. 0 NAVE.
7. of
1901...0. 0 PLMB. 0 MECH. O M.H. 0 POOL
WORK
DESCRIBE WORK
v,aa
VAL sIDN1WSURCE
OF
ELECTRIC
0 OTHER
WATER SEW R
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Public s0 erisate 0
USE CODE
B. 0TIun6S�
I hereby celtlly that I have IaaRerld examined !Ills anVllcumni 0110 have read the 'NI) r 1' 1 pi ovisions included
on reverse side, and know the smile t., u1' lisle anti entree! /11- p1,1.lsiuns nt I,Iur �� ,.es /1,10mnp tins
type of work will he complied with whether specified herein In not The yldlitu,p 1. hell does not presume
00 give authority to violate oI cancel the pl0Vl51005 til .rnr Mlle, .ld e 01 10001 I.Ie> 11 pu. Elul r uctlun orthe
pErfonnence of 0onstrucOan. SEEREVERSEE SIDE FOR REQUIRED INSRECTIONS
DATE OF APPLICATION/0 0 ^,( r1 VJ , !!r I11i11 111 /II PLICA
SPECIAL APPROVALS SPECIAL CONDITIONS:
�-�
NAME DATE
r7
Rea a. rpt RSP a.
FEES COLLECTED
5 nal 5
Building
Plumbing
Meeh.
Pin Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ /Z'
+1200
01200
•1200
2000 8
1002°
10-14-80
6479.