1980, 11-30 PErmit: 80B-3764 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET RACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMAR
La rAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 9.60 / CS001.13-3076
APPLICANT: COMPLETF NUMBERED SPACES — PRET; ll1> TO MAKE 3 COPIES
ADDRESS
qliTVO
LEGAL DESCRIPTION - SEE ATTACHED
T
ISIGN
PARcEL NUMBER'S
3' iDDROtt
vie t.2.1
R
CJIT ACTO
A9DRESS
14.1144, I
DESIGNER
5' ADDRESS
PHONE
ZIP
ZIP
PHONE
ZIP
Actual Set Backs In Filet
North 'South
Size or Parcel EVne ClassIficatirorr'
Type Coos.. OccopanPY Sprinkler.
Digo 01Reci'd.
Valuation Building Area in Sq. Ft.
Main Floor Upper Floors dierage Ar. Storage
CHANGE OF USE FROM
e.
TYPE 0 NEW
7. OF
wwEN 0 OLD.o
0 ALT.
ITO
0 AWN. 0 RP, 0 RIVE.
Dit MECH. 0 M.H. 0 POOL
Area ol Oecks
Fin.. Basement
UnlIn. Basement
0 OTHER
No. Baths
No. Storlos
No. RoomS
No. PI OvrollIngs
CERTIFICATE
of EXEMPTION
ro, Reo.o.
direJAA/.4---
ELECT RIC WAIIER
SEWER
Enurn. OISt.
Location (Area)
Ownership
00*000 Primo 0
USE CODE
I hereby ...only 01.11 I loom dr, .•Y 41,1, ,I1111 iv, ,r,111 10,, moyisloos
on reverie Side, and kilo,. 1/p. 'plop too ,p1,1 011 1.0)1
typo 01 WOO{ Will LIP GUI!) 1)11011 ..1111:1 .U1011,111141,111 ,IIC ,IdoNrol o. 001,11011111,111,
tU 9100 tUtlholity IIIVIOIOIOIIIO.II,01l Ow ploy..., 11, Joy local I.ok !pod r11,11,11•111,1, ,)11u.
0110010110101 1011Stl00000. SEE REVERSE SIDE FUR REOUIRLD INSPECTIONS
L 0/ AITLII.,ior4 1/ -14. -Pd AVVI .1 AM
temIti
SPECIAL APPROVALS
NAME DATE
Healln
to. Ens...,
tio1111.,
PlonsEyamlnoir
SPECIAL CONDITIONS:
FEES COLLECTED
gl
Building
Plumbing
4 a
Mee,
%nava
SIPA
Mobilo Homo
Othor ISpoolty/
TOTAL 7-'1°
4),
0 11 • .7,0
•7000
• 7008
.0.00 8
3763
11-114-80
2 6472