1981, 03-12 Permit: G80-8721 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET BACKS
TOE OF 'WORK
FINAL INSPECTION:
DATE REMARKS: -- Z'er \,4
PLANNUMB
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99160 / 16091 468-3876
APPLICANT: COMPLETE NUMBERED SPACES PRESS I:,' -IID TO MAKE 3 COPIES
1.
3.
4.
JOB ADDRESS
LOT
BLOCK
?GOfoNF.
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
D/l2ary -rat,ed r
Dr e
CONTRACT
PHONE
Q.7�CG%C
PARCEL NUMBER/$
ZIP
ltt�ed
PHONE
47‘–rpt
Actual Set Bac. in Feet
SxrnSoulh Eoun•t
e or Parcel, Zne Claaal,loll
ADDRESS
ZS/ .f/ 1r4
DESIGNER
?ao/
Type Const.
OccupanCT
Springier.
Ov.a On 0 R.' .
PHONE
Valuation IBukding Area In SO. Ft.
ZIP
Melo Floor
0000, FloOra 1 Area
Storage
CHANGE OF USE FROM
e.
TO
Area of 0eck0 I Finished Bsearr0nt
UnOn. BSNment
TYPE —❑ W' EW 0 ALT. 0 AD'N. 0 RPL 0 SAVE.
w0 BLO. 0 PLMB. if MECH. 0
RM M.H.
❑POOL 0 OTHER
No. Stories
N.. Rooms
CERTIFICATE
I EXEMPTION
Rog..
DESCRIBE wORN
UTILITIES
01./of icRc-�
Enum. Dist.
Location (Area)
OHi ELECTRIC
WATER
SEWER
Public 0 Private 0
USE CODE
I hereby cellily that I have laatl ll]d 0.111 nod this aIrlll c-, l,i,,. i, i,l ries; ''a'""' !•iiiti ont ....hided
B Side, and know Ply x e I0 be alar! C vl:t. r ,i ,i gnvClning.thIt
typerivers and lop call t' 1 noun
type Df work will IM complied with echo lhnl nyncil Intl h , � lly ,, i i.. "oI p,nsulllx
10 give authority ny wiolitte nr C*nCe1 010 Pt./141011% 01 n ,.11 low imili• i"' . '...Ruction ii 1 h
parlor alwe Of 0Vl WnyCllon, SE! REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE 01 APPLIt:A110NJ" .Qa. _. 01N0I Limlh. ,, 0n, r0.I[L_�.Vf-._
SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE
IR.
0,, 1+.I
fire Marina°
q/JLe
Recd. rot Resd.
FEES COLLECTED
S01e S 3
Building
Plumbing
Mech.
Men Check
UEFA
Mobile Home
Other(Specify)
p O
TOTAL SA:C7
NUMBER
- g1 L/
�—T
11• •1200
*1200 0
*12008 '
*000 0
CA -19-80
6379