1980, 09-22 Permit: 80B-0611 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
P AN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH SI 1 JEFFERSON / SPOKANE, WASHINGTON 99200 / MGM 45031376
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.
LOT
BLULK
VIS (D11
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
OWNE
ApoPitcri r O.
CONTRACTOR
. 0(39 LAQ.,OOZt
c,
PARCEL NUMBERA
ZIP
Actual 00 Backs Fe0
North kouth East 10271
s -a
Size of Parcel Zone massif...
7192-0 a
Tyoe Comt.
occupancy Sprinkiered
Oyes Orvo nee,.
6.
DESIGNER
ValuatMn
Hooding Area in So. Ft.
ADDRESS
Floor
1.11,1.1' Floors 1 90,09*0(00
CHANGE OF USE FROM
e.
TO
TT. 0 NEW 0 ALT. V. ACM. 0 RPL,
7, OP MVS. 007055
woo 002.0. 0 PLIAS. (*MECH. 0 M.H. 00002.
untie, BASAIllent
Area of Decks Finished Basement
No. Rooms ro. of Dwellings
rAwed. Reed.
No. Baths
No. Stories
CERTIFICATE
of EXEMPTION
DESCRIBE WORK
VALUATIOitrO—URclel OAS
UTIMES
ELECTRIC
Enum. DI..
LOMIlon (ArFM
WATER
SEWER
ownweniP
Pool!. A Prime 0
USE CODE
I hereby certily that I have lead end (woritied implicolom .1111.1 hocc (ex( /111 "NI,.11I 01 nvtdons included
on teverge side, and know the same 1:: In' ttl11. W1111,11,1. All (1 001101'. ”1 (c( iloveromg 11115
type of work will he compiled With 0011(11111 specified lhouin ,«,1 I ,11 l',111,4 11011g not presume
to give authority to violate or cance/ the /010017101/S 0( any ,1.1t0 (c Inca( law (o,c(t.o ,onstruction 01 the
performance of construction. SEE REVERSE SIDE FOR REQUIRE!) INSPECTIO S
04(1 AcnLiCnriCXv 9-1
SPECIAL APPROVALS
NAME DATE
lannme
FEr• Marshall_
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobil H me
Other (Specify)
0
TOTAL $
PERMIT NUMBER
g e -,poV
09.00
.4.00
.000 8
n9-22-80
6479.