1980, 11-10 Permit: 80-3468 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E:
SET $Acks
TYPE OF WORII
FINAL INSPECTION:
DATE
//(-60
REM
FLAN NUNSES
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 09260 / 1609)4523076
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1 " °R620 ,114+ 11%' pare
LOT BLO 6UBD N
7,44.Yr W4-4496
X705 oIJ114 *105
LEGAL DESCRIPTION - SEE ATTACHED
&N
PARCEL BER/S
Ce
Actual Set Bac Fmt
orte ISeut
CO
PHONE
otIlonW..t
om Clndll
IP
Typo Conn c.065006
D
Na kH
ararm.e'd.
DESIGNER
• ADDRESS
PNON
0.10.1100 ISulleln, Area In 90. Ft.
IP
Garan Arm
CHANGE OP USE FR
TO
TYPE Kny
7. Of
wORR �•
4. W (i
D[�0L Y/I'/ iY�ionk
oudc
Y. n
YALuaoNlun°un
0 ALT.
0 PLM.
❑��A°'N. 0 RI,. 0 PAVE.S CCH. 0 M.H. 0 POOL
0 OTHER
0. SWIM
CERTIFICATE
of EXEMPTION
Enum. 0),t. !Location (AMM)
No. Room, No. or Dwell 05,
OAS
LECTRIC I WATER
SE R
P011,mlp USE CODE
u cO6,1021.O
I hereby certify that I have read and examined this application and have read the "N! I1; E'urovisim, Included
on side, and knowthe s o be true and collect. All provisions nl lawr :r. .1, r '1 governing this
typeeV'1 work will be complied with whether specified herein o The gra r i r � doem
s rr 1 esuule
a11
to give INA ity t violate o cel I/Otprovisions (1)anv
other stole or Inial 11 '.r, urrsrnrr.trr or the
performance of rortruetion. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICA 1I014 ( .//'f / ?aluNnTURF OF APPLICANT i?i.,,..j/7•rt
SPECIAL APPROVAL
NAME DATE
Health
SPECIAL CONDITIONS:
•
FEES COLLECTED
S $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
-PERMIT NU
Bo - 3a'
04•.7.00
.ZMMO m
3467i
04-14-80
e 6479.
TOTAL S
WHEN MACHINE VALIDATED IN THIS SPAC
THIS BECOMES A PERMIT
n,t d• -L'n
07L0ri .e.711110.,