1980, 06-18 Permit: 80-5926 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
AN NUMECn
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / 16091 966.3676
APPLICANT COMPLETE NUMBERED SPACES - PI" 5,'.. tl II, 1 O MAKE 3 COPIES
JOB ADOR S //
1. 9/ 6• Tie roc/
LEGAL DESCRIPTION - SEE ATTACHED
IAT K SUBDIVISION
2. 3 BLOCK
o 1.1,..,;1 -6.1,,s
ip
PARCEL NUMBER/5
!yam/- r to3
��qqEER
a D(nay10,r 1n/ -3-2,k 65 0n
E
P9 1-1700
I7Sy-l- 1203
ADORES
.50.r, C
ZIP
Actual Set Backs in Fee
'sou,IWe ,l
Kg..
Brofir.er
w6
O
928-0$C
Cla„IllutlonCONTR:VOR
Slre of Parcel
e
oAr Dv,aed
%200
Type cpnRG«vPancy Sprinkler/JP
Dv,, oaoRap,
DESIGNER
6.
PHONEJlu.l
ion Bu1101np Area In y0. F[.
i`E)T1
ADDRESS
ZIP
Floor II m,* Floors Garage Area Sloss.
CHANGE OR USE FROM TO
a
Area o/ Dees I Finished Basement Unlin. Moment
TYPE 0 NEW 0 ALT. 0 AWN. 0 RPL. 0 MVE. OF ryCv�
7.
No. Belli. No, Slorlel
No. Room. Ileo. Ol Dwelling.
THER
wORK 0 BLD. 0 PLANS 0 MECH. 0 M.N. 0 POOL e,..r y
of EXEMPTION TIFICATE
R.N. Rec o. rot Ren 0.
O RIB' T `Q
a e—`^G(U
Enum. DIM. cation (Area/
FEES COLLECTED
SI S
ALpp N yOUORCE OAS ELECTgIC WATER SEWER
6jaf/O / TIES
OwnerenlP USE CODE
Puollc OPr�. ..e O
1 hecahy certify that I have tend and ex;Itn,RPII hip. ,i,,.nn„
on reveisesale, and know d e sal., to I I/\I hla
he ocnol eIl with whether srR .r t In,.
type of wok willc.
tO 9100 9uthc ty to I t. n cancel the oV, �I --.111 f
fonance nl const t SEE REVERSEASIDF FOR SEOUI RI I N 11 Cr IONS �
netn
9l
Betiding
Plumbing
Mech.
DATE yr ION /'rei3 _`� iiI I iIi 'eg'
Plan Check
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
SEPA
EnV H"I,
�
Mobile Home
—
'Fa tiV.••n�n.
Other lSPecilvl
I.. f pi .u.•. , -
T"!—w
/-
TOTAL S qr• 0
PERMIT NU - //
�J
QOPS v •3100'68
06-18-80
g 6479