1980, 10-10 Permit: 80-8697 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATLO REMARKS:
IsLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY BUILDING CODES DEPARTMENT
509114 SIT 21-1 PERSON / SP ANS. WASSONG/OH 99260 / 4509I 006-3676
APPLICANT. COMPLETE NUMBERED t;'ACI S - IIRLSS HARD TO MAKE 3 COPIES
a7/
3. A:&• -./74e,
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/5
in Actual Set Backs In PPG
.57C1,Ass North ISoytts AS L9.
PHONE Sire ol Parcel Zo CiaSsification
-C" aa
GT TAO* Consi.
4.;.•Z 0/
Valuspon
4. ADDRESS
/1-24( Afs4
DESIGNER
Sprinkles,.
Ono R.061
00410159 Asissi In SP. 14.
5' ADDRESS
CNA 0 EE SAWA
TO
IP
Main Floor
upper Nam fffff ANA
re* of
'YPE "CA.+ 0 ALT. 0 ADIS. 0 RP,. 0 MVE.
I-2 HE
WORO
7, OF
eLo. 0 NAIR. MECH. 0 M.H. Pool_ OTR
NO. Baths
NO. SRAM.
-CERTIFICATE
of EXEMPTION
No. Roorn.
O. Of OwellInOT
Rae d, ro, R00%
0 CRUM RK
EPA, ChSt. 505.001
VALU"' i7IFT'IEES WATER SEWER °Gnu." USE CODE
9. Punlit Pppirt• 0
I c, his 1111/ 1 hays, tedil eichrOuleil this G,i,h, , ITT lo
type 1,4 work well hp 111 hot, Iii*STBPA
10 Vie Pi lila TIO6 , ,ri
pettotinatice iit cobstio,,,b, SEE REVERSE 9400 FOR 600111115 4) INVI CTIOISS
0010 114 APIS 01105
SPECIAL APPROVALS
NAME GATE
Lois
F1.* tA*Ghali
SPECIAL CONDITIONS:
FEES COCLECTE0
S ngle
Sullding
Plurbblos
Ken Cheek
SEPA
Mobile Morns
Other ISpecrtyl
M
b •
• 9.00
.900
• 9,008
•000 8
R600:•
CB -18-80
6 It 7 9.
c, rerr
TOTAL S