1980, 11-05 Permit: 80B-3470 Inspect.,DER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 511 JEFFERSON / SPOKANE, WASHINGTON 99200 / WW1 466 93)S
Are ADDRESS
` yLOT
BLOT
rll(APPLICANT : yC//OO�MPLETE NUMBERED SPACES - PREY.' I+; r TO MAKF 3 COPIES
R ' SUBDGN Y rIre
nos
OWNER
r/ 171 Ad1 DlGdle. 1
ADDRESS
FRA—.
CONTR
+. A° v1L� GlTi L.Yi"�.
DESIGNER
6' ADDRESS
CHANGE OF USE FROM
IL
TO
PrIONE
?3°/
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/6
PHONE
S los'
Actual Set s in F
Ha Parcel , x�soutn East 'West
°7
PHONE
Y W Const.
Occupancy
0y.. OA* 0 w.a'a.
Valuation 1Bugging Area In Sq. Ft.
ZIP
Maln Floor
UpPos Floors 1 Are.
Storage
Area of Dec IS
/IolSOd B,Nment
0 NEW 0 ALT. 0 AWN. 0 RPL 0 MVE.
7.
OF
ORX 0 BLD. /`/`LU��,,0��``C�KMM. 0 y.
�NEDIS...`T'�,yn0 M..H.`'��/���0'9` POOL
9.DESCRIBE O
VALUATIONACC • ELECTRIC WATERQ, UTILITIES
0 OTHER
No. Bathe
Na. Morita
CERTIFICATE
of EXEMPTION
Unlln. B,Mmant
No. Ronin.�No. of °Walling.
Rap'a. hoc a. rnt R.a'A.
Enum. Dist.
Location IAreal
SEWER
OwnarMlp
Public ❑Prw,. 0
USE CODE
hereby C Ility that I have read and ex.11lonell 11119 alllrin : otteron
side, and know the .a a to lie 1 r` vP'
r9
type of work will ba complied with whether V.yel./Ireo,.:1 0001. 1he walrlom:
to Siva authollly 10 viOlale 01 cancel rile prowcinos .II :ow olhe, .Inm
performance of construction. SEE REVERSE SIDE FOR REOUIHED INSPLCTI(31.S
UATL OF APPLICATION-1�°.._
SPICIAL APPROVALS
NAME DATE
I111k (1i a r l
4Uincluded
venlnl9 11119
•,r,110ilfln or I/O
SPECIAL CONDITIONS:
•
FESS COLLECTED
81 PI II
Building
Plumbing
g
Plan Check t
3'
SEPA
Mobil. Ham.
Oth.r ISpecleO,�TOTAL
15%
PERmIT NUMBER
eo- )47b
00• •1200
.1200
•12008
•000 8
iuu94
11-10-80
0 6479
1
INSPECTION RECORD
LOCATION
CONTRACTOR
TYPE OF WORK
NSEW FINAL INSPECTION: /-7--S7 r); -‘W /24)
SET BACKS
REMARKS:
06De-5 zo41=2,- H,G%f/ (N,arretfilw Ajl.'r_41) 2 j
[ 17/ ii at Et.)