1980, 10-15 Permit: 80B-0472 Inspect INSPECTION RECORD •
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NS E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:(0 2 0"Ar
500526 APPLICATION/PERMIT ITNUMtt "
/fig/rO SPOKANE COUNTY—BUILDING CODES DEPARTMENT �0/3-0Y-72; /
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 92200/(6091050-3616
APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES
.dtAI LEGAL DESCRIPTION—SEE ATTACHED u[* •6200
;. E. .12.52.5/D L.R:NoIZA pomp. •6200
.r LOT [5.050. 55501VISION PARCEL NUMBER/5 Z7 5"-LE 3—1106,
2. 10 9 14ILLV164 2-s7PTE-s •6200
�, FLoVD E. piNHAM • `124-8338 2200 8
ADDRESS ZIP rietuat Set Backs In Feet11 7 1
• E. 12510 LI2NOKF1 PKl VE... 112-16 No r th 3`f' Isomn 75' .N7 I lw.8
CONTRACTOR PHONESzone laMlllc.tlon (1 S-1 8x8,VOW- 4Y3,, //fo 3INGLE.EAMIL`(RES. 9_ 6479.
•' VOW-ADDRESS ZIP Canat. SW/Wm
_ V-N M-)Mr Oyes ❑No 0 Rape.
DESIGNER PHONE Valup) G Bulleln9 Area In SP.FI.
669I JAk 7444
M`6' ADDRESS ZIP Main o Foo Geroge5100190
^ y
—
CHANGE OF USE PROM TO Area o Darks Fln10.0 Basement USSR.Basement
•
No.BOP. I No Stories No.IRoama INo of O0.!1nus
TY.. 0 NEW ❑ALT. C'�-KOTI. 0 RPL 0 SAVE ❑OTHER
7. OIL. 0 PLM[, 0 MECH. ❑M.H. 0 POOL CERTIFICATE n a. Roc'e root Req'd.
WORN of EXEMPTION
I MAC
WaRK- 1 Enum DISI, tion(Am!
Re FEES COLLECTED
',$.L SOURCE FD To l�E 2TRI � - er aro
A OIgN SOURCe OA! I BLECTRI< WATER SEWER USe CODE
e,=6696°-d UTILITIES 5re/Rl'. o 5115 0private RiINI. 3
I hereby Certify that I have read and examined thin aonhcknolr and ham„ all the 'NO''CI"'provisions Included
reverseon m
side,and know the Sae Lu be true and correct.ect.Al,nl,NIsi']n-,NI la n:I,alhrraoes cgoverning this eulidin9 *62,1
type ofwork will be complied with whether spec)lied heron',hgramme onc�t hm
ues not presue
to Sive authority to violate or Cancel the provlshons of any others .r local law r.eoiarnn construction or the
parformaltee of Construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
'DATE OF APPLICATION IS -Stigi, RO SIGNATUHE Oh AI',ICHN y 8(25/ Med,
.'..;..:..1 AECIAL APPROVALS NSCIAL CONDITIONS:
DAM[ DAT[ RLMI3/ETNICIGW Plan Check
RIIN 60' I` p,. .A SEPA ',
a 161 d1.1 SFZWPr— ND HEAL-1 40�pr KLEASi ' ^1
r leTaele - Nrraile•P M5blle Hone
. C.engineer Ot of 1
6pagihl
tI1,ISIN TOTAL S�•'X