1980, 10-15 Permit: 80B-1945 InspectOWNER
INSPECTION RECORD
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK_ r /
FINAL INSPECTION: XU• -29 11 / �h4f 4
DATE
k 29-k
IPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 88360 / 15091 456-3676
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
Aa ADDRESS1 'rZibl,
z
sUbtllblsrofY''
LEGAL DESCRIPTION - SEE ATTACHED
3NER " t N�)�
1V,�rr�V " U
v oNE
cP X91s
PARCEL NUMBERS
Actual
In Fait
n Sat BacksIn
last Lew
exrairmL S A any
a co_
4' AJ) -
//YI
DESIGNER
E ADDRLg5 .,
CNANOE oferam
� v
TO
PHONE
3gaaRo
S ize of Parcel Zone CIaes111mtion
Tvw Cond.
O«11ancv sprinkler./
❑v.. ❑No 0 gem.
PHONE
Valuation 1Building Arm In 59. Ft.
TIP
main Floor
Upper noon I Area
Ara of OKI.
Finished Bamm.nt
ugh, Basement
TYPE 0 NEW 0 ALT. 0 AO'N. 0 RI{J 0 MBE.
i.or wORRa 1 OMB. - 0 PLM•. ❑ MIEN. 0 M.H. 0 POOL 0 OTHER
o8SCRI•d //O#Kz��E
Nf
d.GAS
sous.
4. UTIITIES
X
ELECTRIC I Q WAGER
No. Batas
No. Stories
No. Rooms
No. of Dwellings
M
/cam rt6+
CERTIFICATE
f EXEMPTION
ecd
R. Flo, Rev'd.
1111l11.1. Dist.
Location (AMA)4ALUATI
SEWER
Ownership
O 110110 0 Pnv.t. 0
USE CODE
I hereby certify that 1 have read and Bummed this application and have lead the "NO110E" nrovlsions included
on reverse side, and know the same to be true and correct. All provisions of Iews anis ordinances governing this
type of work will be complied with whether specified herein 01 not. The granting 01 e ;smut does not presume
rferfOrManCe of construction.give authority to violate or cancel the provisions of any other stat., cel local Ino renulnllnq construction or the
p fforfla0Ce of construction. SEE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION/0-1 T -- SIGN/1 I UHLUF APPLICAN'
SPECIAL APPROVALS
NAME DAT!
AInnlM
SPECIAL CONDITIONS:
.25 ' / //
G,
FEES COLLECTED
Single
Building
Plumbing
Mph. 4 /z
Plan Check
SEPA
Mobile Home
Other (Specify/
TOTAL S •'/�
PE 11 NUMBER
04• •1200
+1200
o12.00e
u •00,0 3
loft 42
10-14-8,0,H'
3 6479,