1980, 09-15 Permit: 80-9489 InpsectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
AISEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
REMARKS•
APPLIIGATIVN/ PIS:N1111T
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH aft JEFFERSON / SPOKANE, WASHINGTON 99360 / MORI aab3e76
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
10EADDRESS
LOCK 3u DIYI DN
a OCf
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eas r�
e Aa1.2 /7EVR(vFNy s�k �� L✓e
CpNTRACTOR
A•
p' fAl QA.+/a /Y F/rA Y,-./,� Y FA,Y
ADDRESS /
£a NOid.I.v��p✓fP�e w
DESIGNER
▪ ADDREE$
3o N
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
9,o7
PARCEL NUMBER/5
ZIP 9,T uGNOHO
Actual Set B•s In FON
�Soutn
at
'West
PHONE
Sia of Parcel 1 Zone ClostIlo-nl0n
ZIP
99.7 /L
TYPO Conn.
❑Yet OnklD nee'0.
PHONE
Valuation 10011009 Area In SO. Ft.
ZIP
CHANGE OP USE PROM 17O
mem preen upper proems j Area IMorose of Deeps Finished L_,.n9 tJl M. basement
TYPE
7, OP
WORN
❑ NEW 0 ALT. 0 AWN. 0 RPL. ❑ MVE.
OLD. 0 01.810. 0 MECH. 0 M.N. 0 POOL
0 OTHER
NO. Sem.
No. Erodes I No. Rooms
Ti 1 Reed.ol Ree'd.
No. of Dwellings
uERTIPICA
EXEMPTION
Rprd.
D0SCRI ! WORK
▪ AnfrioIrsfRC!
0.UTILITIES
FA,s y'...-gp f
OAS I ELECTRIC TER,
LOntlon (Arm)
SEWER
Ownership
NMI)) OPrivate 0
usE CODE
1 hereby certify that I have reed end examined
ned this appllcanon :Ind hour ;earl the "NO -II," provisions included
on averse side, and know the s 1 o etrue and L set Ali m sof laws an,l ordinances governing this
type of work will be complied with whether specified 1e1em o s'he ap anting os a permit dons not presume
es glee authority to violate or cancel the provisions of ally omen .Iug
cal law Iuiela,g cunstnletlon or the
ma
perfornce of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 9 'QG SIUNATURE OF API.OILAN!
SPECIAL APPROVALS
NAME DATE
tm. Headh
:NO:
SPECIAL CONDITIONS:
FEES COLLECTED
WINN S
BuHMinE
Plumbing
M.eh 3,00
lees /a. Fv
Men Check
SEPA
Mobile Home
Omer (Specify)
TOTAL a ' GO
MI Tc; -4A49
04• •9.00
•9.0056
•9.008
E •000 8
9)16N?
09-02-80
,t 6679