1980, 10-21 Permit: 80-9758 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK /
NSE W FINAL INSPECTION: 4- -/ t///m I,24
SET BACKS
DATE REMARKS:
/d 02(46 elaei 0641}(121 i12,/h-f7 AJ
I q-r-ra
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 92260 / 16091 6663676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
:. JO"rFtLSS I, J I�
LUT 02. 016 01.�J 10 V
"°°17. 10 r nApNIV6 /!x"06
c0N(q frrOfiT--44_/ l DW -i
F21- Sz,7
ADDR0SS •
DESIGNER
S. ROORESE ..
GRAMME OF USE FROM
fA
ZIP
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS /6.5s/,-
/.Urs 0LK
Actual i1/FNV/JSW
AC -A' -'s ARD
ot
Sat
I e.rk12u6FoJ t 9.5I0,at
Nortn 1'
Size of Parcel
' I cI InUon
IJI N L�.
o«aP.n�r errfid
Over. ONo ❑ Rim,.
Building Arm In Sq. Ft.
ZIP
Type ConsL
0r.d"
Upper Floora
Main Floor_
T/
D.n0. AMC 1 Store.
ITO
TVPE ZOOS, 0 ALT. 0 AWN. 0 RPL. 0 MMyE.
OF
WORN 0 ILO, 0 PLME. 0 MECH. ❑ M.H. 04002.
DeseRl WATER
C
VALUATION
SOURCE
OTICITIES
OAS
ELECTRIC
0 OTHER
A,..•
G1 Flnlente . m.� Unlln. eenment
NO. e.� uIy Star.
L 9No. Rooms �1...„..01.11
CERTIFICATE
of EXEMPTION
Enom. Diet.
Lowl1On M M .)
S1EEWER
n-
rI G.
P mm lowNeta f1
OSE CODE
I hereby certify that I have read and examined tins application and have read Mr "NOTICE" provisions included
reverseon cr
side, and know the same to be true and rect. All p so -.,: law; .011 ordis
inances governing Ih
type ofwork will be complied with whether speed led hmmii o IVB l hr.n s.P,inrn. of ,permit doe; not pre
to give authority to violate u cel the provisions of a ;rare 01 local law regulating construction orurl,e
performance. of construction.
�SEE
RREVVEERRSE SIDE FOR REQUIRED INSPECTIONS ��,{
DATE OF APPLICATION (O_/ 3Y .1 Nn 111111 i11 Al, IGAN). l7GI-��
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
SFnrr 1'112111.1
err%1Pi8kgfMk:ib
FEES COLLECTED
6 21 S
Building
Plumbing
Mach.
Plan Check
IIFA
Mobile Home
Other l5pecifyl.'
pnct.
TOTAL E .
I SD -975
02* y'2500.
* 25;p 0 't
•2SOOe
A *0;00'8.
9757@ 't,1
3 6479
aK;:rf1
N 116 MAl'.IlINF 0.1 %I '0 IN THIS SPACE,
11.:IMI`�nt.t.