1980, 05-02 Permit: 80-4156 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION: S Z
DATE REMAR
SP- at- g ACe..1.1/444,r/ 4� 1442--
� lC�
PLAN U•at_._1m2
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTPI 011 JEFFERSON /0000050, WASHINGTON 99700 / ISOM 468-11370
APPLICANT COMP!. ETF NUMBERED SPACES P6 1 1\1/ 3( (11'11's
f000/P--0
LOT I BLO ' rUBDIVISIU
"0StR/J-.
AWS!C
ccliTare.A k-kc—RAC aeic
LEGAL DESCRIPTION — SEE ATTACHED
1.11011E
PARCEL NUMBER'S
.IP
Actual 50 Bac. in Feet
!South laYs
Tea ClassUlation'
DESIGNER
Ire or Parch
97.02—
TYLle Coml. I Occupant.
ADDRESS
ZiP
06*140506055 FROM
TV. 0 NEW 0 ALT. 0 AWN. 0 RPL. 0 MOE. 0 070
56
WORK 0 1100. 0 PLM.. 8.111500.him. 0 POOL
05000067
.7:67;7.. 7 ELECTRIC WATER I SEWER
P hereby cm hist that I have read and examcne(1 this ant,. Onto cent kw • ,ctttcl the 't:c, •
.in reverse sIde, and know the same to he tnie anti cone,. All non ncto ol .ciA
'Iype of work will be complied mth whothet specified iteteot 3ci not I he chanting
!o give authority to violate nr cancel the proviscoos of ally o. local
erformance or sonstrochon. SEE REVERSE SIDE FOR REQUIRED INSPEC
..bA r 1 /11 APPLICAlION HIll
sprinkler.
Dyes D,o 00090.
Building Area In SA. Ft.
a Floor I Upper Floor. 0 Area
A,..0fDecks I 119110.4 Batement Until, sow
50.Salm I 90. 610,1.1 No. Rooms r.. of °wooing.
Am, I nee ci. IN. R o •
CERTIFICATE
of EXEMPTION
Enure. DM. !Location (Posa)
IUSE cooe
0,09.0010
1,0111 00,10.11 0
tutynt no. lint
t.1
,ohtutt,lint, ttt
SPECIAL APPROVALS SPECIAL CONDITIONS.
NAME DATE
is4 LA_
—
V,CA -
)4./ZtiAlf
FEES COLLECTED
Single
Building
Plumbing
Mech.
PIM Chock
SEPA
Mobile Norm
Othw ISpocily1
TOTAL $ 'CC)
PERMIT NUMBER
-4-
.11.00
*1100 Si
•11.008
'0000
a ff Y
R —30-80
61179
n 1 .1 .1 tnno