1980, 12-10 Permit: 80B-3971 InspectI'
.
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1 ,JOBADOR 5 2Zy�
, LUT SLUSH SUE KOSKI
APPLICATION/PER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE. WASHINGTON 99280 / 15091 458;3616
APPLICANT: COMPLETE NUMBERED SPACES — PRESS 1 ((([-/010 MAKE 3 COPIES
2
ONKK,N Cr
LEGAL DESCRIPTION — SEE ATTACHED
a 73vW,0 Yctzen
ADDRESS
S Z2s-s C'O.ux.o.0 C'T.
CONTRACTOR
`Si9isek
00
ADDRESS
DESIGNER
O. 0005659
PHONE
9:v--6 /9
EIP
9903-7NAM
PHONE
ZIP
PHONE
ZIP
PARCEL NUMBER/5
Actual Sat 0900I5 n of I 90 Lest
Size of Parcel
Type Con.
Valuation
Main Floor
Eons ClassifIcatIon
SPrinklered
Oyes ONe 0 R.9'a.
88110109 Area In S9. Ft
Upper Floors aN9. Area
Storage
CHANGE OF USE FROM
&
TO
Ant of Deck.
Finished Baseman
Unlln. B.Nment
', O
FGN
K IEW 0 ALT. ,0/AWN. ❑ RPL 0 PAVE.
WF
0 CLO.PLAID. 0 PLAID. L7 MECH. ❑ M.H. ❑ POOL 0 OTHER
No.
DESCRIER WORK
VALUAT I so NE
B. UTILOITIES
2b/0o
OAS I ELECTRIC
En
BHhs No. Starlet No. Rooms IND. of Owiellmr
CERTIFICATE RW'0. Recd. blot 11•01.om EXEMPTION
u . DIR. LOGr10n (AM)
WATER
SEWER
OwnersniP
Public 0 Private 0
USE CODE
I hereby certify that I have read and examined dos applicatiol, .n„1 i1nvn lead the "NOTICE" n, nvlsluns Included
on reVeree
side, and know the seine to be true ,1)1!1 correct All n 110111,uns of laws and ol,linvs governing 101s
typo ofwork will be c mplied with wheals, specified /1n,e„1 0 the taanting of a 110111111 0005 not presume
to Ewa authority to violate 01 cancel the provisions of any od111 s it local law legulalnln , msdd
ucon or the
Iter/ornlance of construction. SEE REVERSE SIDE FOR REOUIREDIINSPECTIONS
UA Il OFAPPLICA 1(0N /rY_ MARA AAA,
SPECIAL APPROVALS
NAME DATE
Env 101 ,a
SPECIAL CONDITIONS:
AMA tiot
FEES COLLECTED
01 91 $
Building
Plumbing
Mech.
Plan Cheek
SOPA
Ma01N Home
OBlar IBPaoIfy/
TOTAL S P- 40
PERMIT NUMBER
808 -slit