1980, 10-21 Permit: 80-9976 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK ��aa
N S E W FINAL INSPECTION: ;;2-/,2)
SET BACKS aZ
DATE REMARKS:
Pk- PLAN NUMBER--- --' •
//1°41°
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTn Bt1 JEFFERSON / SPOKANE, WASHINGTON 99266 / 1509) 066-31375
APPLICANT: COMPLETE NUMBERED SPACES -- PRESS HARD TO MAKE 3 COPIES
1. LUf Ub IUOIVI_SI�I
B C�Y� 00m1 A,,,iZe
3.
-mod 4 Roz 6u6
ADRRJv9B�O� De,426
:+g-- 5195
coNnfy_
• ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NU
RCLNU B1701Po'°DIJof 04543-c631
Lo -r4).
PHONE
er^al�.eahndma
r70,< Iib
East
Zone cla,nnra ion
ZIP
DESIGNER
6. ADDRESS
CHANGE OF USE FROM
a
PHONE
Type CNnsI
Valuation
DOO
oP 3=r I Dv. ❑Nook)❑
ZIP
o
Main FWor
73
UpperfFloors
Buadl9n reg,3Sp. FI. _Storage
TO
Area of OeCNs
Finished Basement
Untin. Basement
TVPE IId NEW 0 ALT. 0 AD•N. 0 RPL. 0 RIVE.
WOR, 0 BLD. 0 PLMO. 0 MECH. Ig .H. 0 POOL
DESC
a glirr„ SOURCE I4 Mei (14-4<-70)
9.10 A000 UTILITIESGAS
ELECTRIC
0 OTHER
No.Baths
P. Stories
No.
No. of D .Illus
•
CERTIFICATE
of EXEMPTION
Enum. Dist.
f
Location (Area)
NOnF'
SEWER
Public 0 Prlrao e)-
I heriby certify that I have read and a aml rod this apnhn.l llnl..In l have I. the "NOTICE" provisions included
on reverse slue, and know the same u ber:. hue :I,0 .I. All I.000lonl, Ind ordinances govelninit O
type of work will he complied with
1 1 .. !I I..
Holm,
r Ireto I vu authority to violate con.1I the I.t i ..v T I L Jcn rs Ir I n performance ,, construction. SEE
REVERSE SIDE FDR 11E1111I IILD INSI'EC 1 HINT
DATE OF APPLICA'T'ION .n N1,1NI ,n AP IJIL„JJ
OwnershIP
USE CODE
SPECIAL APPROVALS SPIICONDITIONS: � I6 C�'� or
ftr,. N•.IIM1 NAM rev
�N PLrANN nPlans
Not Ran,.
FEES COLLECTED
Single S
Building
Plumbing
Mech.
Plan Check
SEPA
Motile H
Othe (Spec tri
TOTAL S x.17,'..
PERMIT NUMBER -
80
-tall69�l7�
I; 7
.5000
•5000 4
*50000
-.000 0
097.59
09.134.80
g2
0 64.79
r
THIS SPACE,