1981, 02-09 Permit: 80B-4614 Inspect yr-
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S ; E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
IP-
• • i
).1_ N NUMBER
'
•.. . ----1 APPLICATION/PERMIT
1
SPOICANE COUNTY—BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON/SPOKANE,WASHINGTON 88200/0509).60.3671
P
APPLICANT: COMPLETE NUMBERED SPACES—PRESS II.AO TO MAKE 3 COPIES rERMIT NUMBER
ReloU—4-4,i4 VAIL .
B ADDRESS 3 .3800
1. 6.?Z/? gi,g3c oto,J- Vr, LEGAL DESCRIPTION—SEE ATTACHED
(1 • •38(.10 6
LOT BLOLIC SUBDIVIS 0 PARCEL NUMBER/5
' Z .38006
OWNER PHONE ..?3---..°g—441 H •000 8
a frds-o 0-0,,,s-r ClZ.43-71.3
ADDRESS ZIP Actual Sal Becks In Feet 4 b 1 31
N- 35(0 AR-ver. cicioz-7 North 'South E. 'Weft
IrPHONE Zone Ciestif! ien o.a
12-oc o
9d
CONTC4IR L 0.,epw,4., tr-d941' SI.of Parcel M
4. AM:VEEP Type Com,. Occupancv SprInSlereil
/0126 E. P" rre--1- ?r. 206 Oves DSP El nee,
MEAMIALED /1
Ng"-9,76 vAgetinn autioine Area In Sp.PI.
5' ADDRESS
ea Ve,e 140Y ''''79,voi ,, 6479.
CHANGE OF USE FROM TO Area of DUI" PIMP,.Basement UnlIn.Basement
&
No.Betns I No.ENO. No.Room ro.of Dweillnel
TVP. 91411IW 0 AL.T. D AWN. 0 RPL. 0 NVE. 0..„...
7. OP A
WORN 0 BLO. KIILINS. OSEEN. 0 M.H. 0 Poo, CERTIFICATE Rm.. RAM. r.,RANI.
of EXEMPTION
bitsokisit
& wOhrt /11 rl !nom.Die, Lomb.(Arm)
fen COLLECTED
X 1 SL-t-r.:.5
VALUATION SOURCE OAS ELECTRIC WATER SEWER igwamaig USE CODE
9. . 1,5115 0 Private 0
Single $ ,
I hereby certify that I have read and examined this application and have read the"NOrl,1 pr oxtbons included
.e.4,7!:
on reverse side,and know the same to he nun.at ..nrrect All irrovislons of law,.on,.,,..,.ces governing this E„,,,,,,n,
type of work will to complied with whether recoil ed herein nr riot Inc granting Ill.....in.1 does not iuesurrie
to give authority to violate or cancel the provisions of any other state or local Iae,A4 m,truction or the WOD
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION 10?/.S. /iv SRFNATURE OF APPLICANT 2,1_ Mech. ,.
SPECIAL APPROVALS SPECIAL CONDITIONS:
PlanCheck
E ....nv.Health . ,5 /0 i 4,15 / ZD'a-}
. .
,-.,......
REPA
...b... /..4 /0...)/3• 4/„..'cuzir_G-T..,
r!)..„...I ''-‘k.pr
/ cc/74/ Mobilo Hans
l'..
aliiiiMIM / 54"`"uc'' . Other(Specify/ Vb
vs tIN / Ki.i.S.'mk -
- - -i• TOTAL S(V•460
1
I
1
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