1980, 11-10 Permit: 80-9837 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: / -3/) /
DATE
-a(
REMARKS:
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/ c /&:-;l/ cri/,e. k n 11.6 a�..�-1— /24
C ,f are. --, -
_.-.... APPLIGAI IVIS/ rmrimll -
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 99260 / (5091 466.3675
APPLICANT- COMPLETE NUMBERED SPACES 1'1:11;5 IIARD 10 MAKE 3 COPILS
JOBADDRE)p1
LAT BLOCK hUBDIVISt
OWNER totho
a ADDRESS
I32
LEGAL DESCRIPTION — SEE ATTACHED
E
b
jj�++y:T__-//oil(
1 W/PNniih
PARCEL NUMBERS
Actual SN Backs In
eat
IMAM IEm 'Weal
coNT.L�
AO 6r. s.704 n
PHONE
3a�5
SIM of Parcel I Zone Classification
o7
Type Coml.
Occupancy
Sprinkler.
Elves ❑ O ❑R .
DESIGNER
b. ADDRESS
PHONE
Vawaupn IBul141n9 Area to Sq. Ft.
Main Floor
uppo Floors 1 Garage Arm
SidieSe
CHANGE OF USE FROM
a
TO
Area of Oeex.
Finished Basement
UnlIn. Basement
TYPO
7. OF
WORK
O NEW 0 ALT.AD'N. 0 RPL ❑ 140E.
❑ BLD. ❑ ALM.MECH. 0 M.H. 0 POOL
0 OTHER
No. Storles
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
6.00. rot Rued.
DESCRIBE WORK
a
VALUATION
B.
.6 -WO JQQec?n.Lc)
Enem. Dist. 11.66.0(64 (Aral
snounCE
pile
GAS
WATER
SEWER
Ownership
Public 0 PTWete
USE CODE
I hereby cartily that I have lead and On
011 reveme side, and know the s e to of I,ll
type oi work will be complied with whether q(o,lled II vls1 he in.m.,n
to give 0UthOfrt4 1 Iulate nMineel the provision of a Wed or lor.di
performance of con2uuchonSEE REVERSE SIDE FON I,EISUIRED INSPEC7HK
DA1E OF APPLICATION q ��IO _,lI.NA�.IIII IAI'PIII.A
U►SCIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
th-rFi fin.
41.nnlna
r• ars
Co. Eneln..,
• Nam EMmlner
s 4nvrrl�'..o Iln.
mtntlnn 00l Int
Comliuululi NI In.
Oan, ads J
FEES COLLECTED
S pi
Building
Plembing
Meeh.
Plan Cheek 1.'00
SEPA
Mobile H me
Other lSoeeitvl
TOTAL S�
/17 180 -98.37 —�
�—1
Oti+ •9.00
6900 0n
•9000
•000 8
h229
09-09-80
6479.
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