1980, 11-06 Permit: 80B-3486 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
// -(0'30
REMARKS:
k
PERMIT NUMBER
M - 39-8(0
NUMBER
JOB ADDRESS
2
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES QEPARTMENT
NORTH S11 JEFFERSON / SPOKANE, WASHINGTON RENO / MOB/ .1-30711
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
BLULK
SUtlU1VISIUN
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
OWNER
a
AODR
• 3
CONTRACTOR
� � (� �� �(�
4. a1DDRESS 9,� ,I/TLA Bim`'
DESIGNER
6' ADDRESS
CHANGE OF USE FROM
Y77,7/ 1 3
TO
ZIP
PHONE
iz -C'ZS2
Actual Backs
NorSouth
oat
1ealPareaIun. cLGinwu�
n992�4
PHONE
Tape Const.
Occupants
svnnhlel.d
Oyes ONo 0 Re0•d.
Valuation lBUIMIng Area In S0. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
Area of De.
Finished Basement
Unlln. Basement
S
7. TPI4-NEW 0 ALT. 0 ALM. 0 RPL 0 MVE.
WORN O BLD. 0 PLIAS. OA MECH. 0 M.H. 0 POOL
DESCRIBE WORK 3 i F 1i ba.
& 11W, "
SOURCE
UTIEITIES
VALUATION
9,
GAS
ELECTRIC
X X
0 OTHER
.Baths No. Rooms !No. 01 Dwellings
CERTIFICATE ( W'0. I Read.
ore EOOEMPTION
Loge
bl. t100 (Arm)
No. Stories
WATER 1 SEWER
OwnerIllip
Pubgd O Private 0
USE CODE
I hereby Certily that I have read and eminent. 111,1 appUlnli, ami have reed the 'Ni`I '''I " nrov si s included
on ares side, and know the sate to IV tluu dml normal Ail mmisiunS of IaWS.l'ii ,,,lwances governing tha
WWI Of Work will be complied with whole!, spec1hon herein .n Int -Nin grannie; 01 1 dues not presume
to 9lye authority to wol*te or cancel the urovisnans nil any nlhel state of in.al leis ,011,.. unetrUCtton Or the
pafformence of construction. SEE
REVERSE[[��SIDE FOR REOUIRED INSPECTIONS
�1
DATE OF APPLICATION_IL.Z. ?.a_.... SIl4NATU1,i In -APPLICANT
OFICIAL APPlIOVAU MECIAL CONDITIONII
NAME DATE
Env,
Nana mg
/r Marshall
Go. Engineer
bides
�TIen1 EJuminer,,
FEES COLLICTED
I'nel I
Building
Plumbing
Mach.
Peen Cheek
SEPA
Mobile Nome
Other (Specify/
ei
TOTAL I
04* *900
•900 E
*900
A *000 R
348*7
11-10-80
7
6479
wucel M*rHINF VALIDATED_ILLTHIS SPACE.