1980, 10-30 Permit: 80B-19 InspectINSPECTION RECORD
�.t7CitlON
CONTRACTOR TYPE OF WORK
FINAL INSPECTION: /2 5 RYA
N S E W
SET SACKS
DATE
014)
2-d*/
%`3i
REMARKS:
414 (14104 c /?-
PLAN NUMBER
4,
-"."''FiMleMMINhapowdOMEW. ",‘Ihrm-Pr -
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH ail JEFFERSON / SPOKANE, WASHINGTON 99260 / 15091 456-3675
APPLICANT: COMPLETE NUMBERED SPACES LARD TO MAKE 3 COPIES
LOW
OWNER
aertli. 4CerS, ( /rra 7
ADD R ESS
roa,of.A.
CONTAACTOR
/re eCte
ADDRESS
DESIGNER
pHoNE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUM5ER/S
ZIP
Actual Sat BaCM in Feet
North 'South Eaft Last
Gt,‘ ,
PHONE
Size of Parmi Zona Classification
ZIP
9T,?/a
PHONE
Type Cana.
Occup•ncY
0 Yes ONo
Valuation 131.11101n9 Arm In So. Ft.
ADDRESS
ZIP
main Floor
Upper Floors 1 Garage Aim
CHANGE OF USE FROM
TO
Area of Dacks
Finished Dominant
lint in. Basement
TYPE
7. OF
WORK
0 D ALT. 0 AWN. CarRPL. 0 MVE. 0 oTH.
0 OLD. PLMB. eiMECH. M.H. 0 POOL
No. Baths I No. Slorix No. Rooms
No. of Dwallingt
CERTIFICATE
of EXEMPTION
Rao,.
baY'A:L;Lr0:0,r
°11
ELECTRIC j WATER
9,
SOURCE/ OAS
Enurn.
o on (
SEWER
Ownership
PuOlic 0 Private 0
OSE CODE
I hereby certify that I have re,c1 and exernmed this applIcerioi, and hive e..• ' 1111 '' provisions included
on reverse side, and Me LI, be true and 11911011 Ail ii•l ices gmerrime
type of work will be complied with whether spec.ficd ille ilell1111..lue5 riot presume
to give authority 10 2101978 or cancel the proviscms othei 10.1 construction or the
P7108009906 of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 10 /1 /01/0/0/ oi "
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
,9,8, timith L
(iv Engineer.
FEES COLLECTED
$ -z?
$ pi
Building
Plumbing
Mach.
Plan Check
SEPA
Mobile fiOnw
Other ISpec ryl
TOTAL $
C7
PERMIT NUMBER
.1200,
*I 2 00 E
*12008
.0.6o 8
3,
c9-11-80
6479.
c(c
' - 8
I