1980, 08-11 Permit: 80-6310 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: ((
DATE
REMARKS:
rT*M0c0
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Bit JEFFERSON / SPOKANE. WASHINGTON 08]00 / 1604) 1660179
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1.
3.
E• ADDRESS
DESIGNER
6. ADDRESS
CHANGE OP USE FROM
6
on 0 NEW 0 ALT.
T.:00 O m.o. 0 PLAN.
OESCRIE WORN
VALUATION
a
JOE AOORESS
—1—Lad
OT I ELOCR IsU6O1V'O/R 6
AODR
LEGAL DESCRIPTION - SEE ATTACHED
rWy ob
Acl.l Sal lacks In F«I
PHONE
IIP
PHONE
'WOG
�to I:oGIn
I Pa,n1 CMWIInIW
T00.0001. I °'Tree.,. snl..w«
❑TM Oxo Ll H.R•a
alwum SulNma w«rose. Pl.
21P
Nolo Pi..
UPpa, Finn Dan. A,«
Ston.
TO
A,«oIDAM
Plnirh« Sownont
Unlln. Bawmant
❑ ROW. 0 RPL. ❑ MVS.
❑ MECII. 0 M.N. ❑ POOL
0 OTHER
No. laths
No. Stories
CERTIFICATE
. EXEMPTION
No. Room. 177. OI Ow NNM.
Roo, 1 P.m el. roe filo
./ra.rLrV
.00. 0111. I Lo0No. (A/w/
SOURCE OAE
unui1ES
ELECTRIC
WATER
SEWER
DwnrmIP
Public 0 P1NNa 0
UBE CODE
I hereby certify that 1 have read and .EMnined this and hew mad the 'NOTICE" provisions IIICIu0M
On ESD. 1,00. anti know tM tame to W fru. and correct. Au prOvilIon, 04 IEWB End o,Mn611ttl governing 011,
Win 01 wolk wdl be conlplled win whether tpeclfled herein n, nal. Th. granting at a Noma dna not prawn.
16 Ow Euthonty to 0101M Or Canal 1110 prnl.fans of BON 01011 01111 01 10Cill 120 ralulating constrUCUOn 01 Ihn
palformDlca of conolruotion.SEE REVERSE BIDE FOR REQUIRED INSPECTIONS
IIIMOIAL APPROVALS SPECIAL CONDITIONS
NAME PATE FOR AAS APPLIANCES
!n. HMnc
DATE OF APPLICATION
SIGNATURE DP APPLICANT
ilia Mush..
Go. EnHnw,
i4Insurn ,.N-4
PIPE SIZES
PIPE LENGTHS
3Tus
PEES LLLLPCTSO
SI g1 i
Bwwln0
Plumbing
Mach.
P1.n Ch.CL
BSPA
Mobs. Noma
Other Knottily)
TOTAL S
�)*. .7.00
•7.00 a
•7.008
•000
63092
06-25-80
6679
IN EN.WAf INF., a, Intim Il. nus SPa*F