1980, 09-17 Permit: 80B-302 InspectINSPECTION RECORD
OWNER:
LOCATION
CONTRACTOR
N $ E
SET BACKS
TYPE OF WORK
FINAL INSPECTION: l' lA-el I ��
DATE
7
--Vii'-2'
REMARKS:
4/Pt age,itea- ,e4
i !-
oa.,1J s'i,,-fa- !n st
h. -!,-LAN NUMBER
61
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Bit JEFFERSON / SPOKANE. WASHINGTON 99200 /1009)4063070
APPLICANT COMPLETE NUMEL) ' PRI '0 MAKI3 CUPIE
JOB ADDRESS
2.
/39'e
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
3.
ADDRESS
CONTRACTOR
doc,t 6
PHONE
Q.9 -‘1.5"y5,
PARCEL NUMBER/5
4. 3/WhE
ADDRESS
S/9PNE
ZIP
Actual Set Racks 0Feet
!ScumNorth East Less
PHONE
SG. or Parcel IZon. Classification
ZIP
TYPe Const
Occupancy Sprinkiamd
Oyes ❑ o ❑w
DESIGNER
6' ADDRESS
PHONE
Valuation (Building Aram In Sg. Ft.
ZIP
Main Floor
Upper F100I1 1 C.ra9e Area
Stow..
CHANGE OF USE FROM
TO
Area of DeCkS
Finished Basement
UM.. Basement
TYPE d NEW
7. OF
WORN
❑ ALT. 0 AD'N.
0 PLMB. IYJ MECH.
❑ RPL.
0 M.H.
❑ POOL
0 OTHER
No. Baths
No, Stories
No. Roorns
No. ol Dwellings
CERTIFICATE
of EXEMPTION
R.c d. Plot Reg e.
DESCRIBE WORK
8. M.�by376rf W! GAS
't'f
r^yT�paJ AL ATION SOURCE I OAS
Wrszo• TILOITIES
hprelh, ,.wt
Emir, OWL
CNiij,v6Y
Location 1040.)
LECTRIC
WATER
SEWER
Ownership
Pu011c 0 Prim. 0
USE CODE
perfoloI2Ine tri .11,1untlun. SEE REVEIISE SIDE FOII
DATE of 0101 ICA 1105 _ _
SPSOIAL APPROVALS I UPICIAL CONDITIONS:
NAME DATE
FEES COLLECTED
S pi S
Building .4/0. to C)
Plumbing
Mach. 7 00
Plan Cheek
SEPA
Mobile Home
Other lSpecilyl
TOTAL S /7�
—1A-80
700
'7.00 0,
7000
-Ih-B0
04170