1980, 10-30 Permit: 80B-733 Inspect 010
INSPECTION RECORD •
Ok-OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
T
APPLICATION/PTR T " 'T :'"
SPOKANE COUNTY—BUILDING CODES DEPARTMENT M °C 7
NORTH 1311 JEFFERSON/S OEuNE,We'. GTON 99360/16091 e6&3676
WA
APPLICANT: COMPLETE NUMBERED SPACES-P ESS HARD TO MAKE 3 COPIES
•ADDRESS Udf RTU.
it,
Lor etoL�91�17Bo v��vPfiONiO • '� LEGAL DESCRIPTION—SEE ATTACHED .RTU B
K I 1 SIU PARCEL NUMBERS 3 2
2
OWNER PHONE
v�v.aF Lee✓J9U.6Y - 942'3.//53 U9-23-80
a J
ADDRESS ZIP Actual Set Rag.M Featp 6479,
N. /90, R 4 vinaN/.0 .QAo. O nc N,rm IS6uta I est iwest
CONTRACTOR
PHONE Stye or PMI zone CIMaIIIallon
4 OflAW>
ESS ZIP Type
O RESS pe Const. OadPancY sprinklerq
u' e. Dyes Mee 0 Rao,
DESIGNER PHONE Valuation Building Area In So.Ft.
E• ADDRESS ZIP MPIO Floor I Upper Floors Geraw Area Stoma.
CHANGE OF USE FROM TO Area o1 OecM Finished Basement Unlln,easement
E.
�/ No.Baths No.Sanas No.Rooms No.01 Dwellings
TYPE 1]NEW ❑ALT. 0 AD'N. ❑RPL 0 MVE.
'r WORK ❑BLD. 0 PLM13. E]J MECH. 0 M.H. ❑POOL 0 OTHER CERTIFICATE Rae d, I Reed. f'lot Req'd.
of EXEMPTION
DESCRIBE WOR 'num.UUt. Loanon'Anal FEES COLLECTED
;a t RN VQ 1
VALUAT ON SOURCE OASAs ELECTRIC WATER SEWER owner., USE CODS
g, UTILITIES Public OPIN.e 0
Single $
I hereby certify that 11lave raid end examined 11.11 application end have read the"NOTICE"provisions Included
on averse aide,end know the same to be true and correct.All gam 11001 of laws and ordinances 9 06 411110 9 this Building
type of work will be compiled with whether specified herein or nut.The granting of a nnrmit doge not pneuma
to glen authority to viOlaa or cancel the prOSlelCne of any other Nate or local l9W regulaohg oclutruo0on or the
performance of construction.SEE REVERSE� BIDE FOR REQUIRED IN�PECTIONE Plummer,
GATE OF APPLICATION _.9'-_:_.2,5- fT _SIGNATURE OF APPLICANT.sG{S.S1!_E'�62.t[JJCPL_�^�y Mech. e�
SPECIAL APPROVALS SPECIAL CONDITIONS!1 J
NAME DATE Plan Check
Env.Health
• SEPA
Plennlna
re Marshall MobIU Mome
o.Engineertit :54:::, OtM1er ISp 1 1
nlai{t_ TOTAL $7.Oc.)
enf Eaminer
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