1980, 09-24 Permit: 80B-415 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
FINAL INSPECTION: 1— 21 l7 je4
DATE
52#
REMARKS:
,esc, htsp-r4a, --40.0sr.,os.e.
NOMIER
r9
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / M09/966.3616
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
4069006ESS
d.
LEGAL DESCRIPTION — SEE ATTACHED
2.
PARCEL NUMBER/6 311.6 Mf—Jfof9
�: S
ke 1p .P.,4...P.c,LY.
ADD n a
iSC QRti " ,C
6. ..f1.s4A!
AlOpRESS
.Ltlf
6.
DESIGNER
ADDRESS
CHANGE OF USE FROM
TO
PHONE
4.2.* -257,
ZIP
992/L
PHONE
PSION
ZIP
7. TYPE 0 new 0 ALT. 0 AD.N. 0 RPL. 0 PAVE. 0 OTHER
WORK •LD. ❑ PLM•. 6;I MECH. ❑ M.H. 0 POOL
o. Baths
No. Stories
o. Roome
No. of Dwellings
CERTIFICATE
of EXEMPTION
Rog
SOURCE
RGE
rAw eR ."' STALIREEVE
ye
num. O). Locetlen IAree)
001100s USE CODE
P0
u c gPrime 0
1 heroby 0.rt1/1, th11 1 1)666 uuJ 61111 6n6triuma G I I nnr! It ter ' t..sitm, 1RchnI1111
Olt r60.11e >4e end know the 101116 in 1,6 11116 olldnn , 1 .n /0 61114 ,
HDI of wok Will b 60111p1100 'Ad wlwIh61 SNNcdo,Il n),1),n, 1. 11,l,).,, .. 110116 611 n.es111/16
N Mini authority t0 violate Or 1at,cu1 MO provisions OI any ollinl 1161), 0, local In." n,, , l,,ot, 1;1,051166111011 .1nil
1
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
DATE OF APPLICATION 9—/7—? e, 011 NAI 1.0 nIILI(ANI X/}/9.4.9-
VICIAL APPROVALS
NAME DAT
SPECIAL CONDITIONS:
FEES COLLECTED
ENO $
Eu1121n4 H /�
Plumbing
Mech.
Plan Check
0000
Mobile Nome
Other (Specify/
TOTAL S � % QO—�
•17.0
. 17.0
1 7.0 0 I
•000 8
1 et
1R-80
6479.
tei
1.