1981, 02-09 Permit: 80-6594 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK •
FINAL INSPECTION:
DATE REMARKS:
Z-- 9-,/
RAN NUMEER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE. WASHINGTON 98260 / (6081 468-3675
1.
2
a
APPLICANT: COMPLETE NUMBERED SPACES -- PRP,' k :D TO MAKE 3 COPIES
306 ADDRESS /'�/ �(/�� //<< ����//.
LDT SOBDItIis- Ilam
LEGAL DESCRIPTION - SEE ATTACHED
BLOLK
5.
OWNER 37
wooREss
S. /yiz C�BrTt/e;..o
CONTRACTOR
�n.0/er Tvurrr
ADDRESS
DESIGNER
ADDRESS
47K727 7
PARCEL NUMBERS
ZIP
Actual Set Backs In FM
North !South !Watt
u.
,;/lit
PHONE
Sq.E -STOO
Occupancy SP.Inkm«
❑Yaa ONo ❑ Rep,.
Building Area In Sp. Ft.
Floc Garage Area I scrap.
SUa or Parcel Zone Classification
z:1'31201v/
TY. Cont.
PHONE
Valuation
ZIP
Main Floor
upper
CHANGE OF USE PROM LTO
Area of Docks I PIn0M« Basement
unfln. Basement
TYPE pN6W
7• OP
WORK ❑ILD.
LJ ALT. O 9D•N. 0 RPL
❑ PLMI. SMECH. O M.H.
❑ MVE.
C POOL
0 OTHER
50.130000 I No. Stela No. Mums INo. of Dwalllnaa
J R«•d. Redid.
CERTIFICATE
of EXEMPTION
[num. OM.
Location (Area)
D RINE WORK
SOURCE !LlCTRIgTER SEWER OWPNMIP
Q UTILITIES I WPublic ❑Prlvata ❑
USE CODE
1 hereby certify that I have lead and examined this application .,. ,, end the "NU i It C" provisions included
on reverie side. and know the Sarno 10 be true and n of I:ws and f,i,hnances 0000111110 tiffs
type 01 work will be complied with whether specified herein I The inclining 0l ', I floes not presume
00 give authority to violate or nano the provisions tit any utile cel 1e I. 1 rmNtructIon or the
performance of constructiiOn,.,SEE
EE EE REVERSElSIDE FOR REQUIRED INSPECTIONS e
DATE OF APPLICATION O 31 ).- d sIC NATUHrr`r ^ /1't lr'flN �c..Air��W(F.KV�
SPECIAL APPROVALS
NAME DATE
Env. H«Itk
rani 0.am nar
SPECIAL CONPITIONEI
FEES COLLECTED
Singl E
5u0d0 3
Plumbing
Mean.
Plan Cheek
SEPA
Mobile Hobe
Otter MENS y
TOTAL
yL,
I ER `0pt �5 T1 BEP 444
L
1,4• 09.00
•900 2
•9.008
R •oo0 8
6593N
07-02-80
3
6479.