1980, 09-18 Permit: 80B-0359 InspectINSPECTION RECORD
OWNEROCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
/ftees7c 44*d
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH all JEFFERSON / SPOKANE, WASHINGTON MOO / 15001 4563676
APPLICANT, COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
ACTOWSS
1. c!,— 1007
Ur BLOCK SUPPUIVISION
ADDROWNER
‘-7-
/t2T-Lit-atE. . 71
a ESS
LEGAL DESCRIPTION - SEE ATTACHED
Fog —3767
PARCEL NUMBER'S
1— ,23"--,7
gartual Sal Backs!. Feet
North 'South Emt 1West
4.
Sim 04 7.74.4 1 Zone Classification
Crn59
DESIGNER
5' ADDRESS
/97e7 6
Type Corot.
OccupenCY Sprinkieraci
0Yes Onio 0 Res,
PHONE
Valuation litundlng Area 4S0. Ft.
ZIP
Main Floor
0509, 44,749 1 Garage Arm
CHANGE OF USE FROM
91
IT°
Area of Pocks
Finis/NM Basement
Bonn. Besement
TYPE
7. OF
WORN
0 NEW 0 ALT. iffZIN. 0 RPL. 0 PAVE.
o sLo. 0 punt, 0 MECH. 0 M.H. 0 POOL
VALUATION sOURCE OAS
9. UTI PITIES 5 5•00C,
I hereby 45,1499 that I 11000 1/011 a1111 ene1.1.1.,1 the. .e,4,1 the 7, e,clude,1
on fever. side, and know riiii io be trole end “ol let All imere es 70004111419 11114
type of 147 roolpfied with 7411411101 specilled Q111111111, !Mit floe, '1,4 e'e,u'ne
40 9447 01111401110 4401717 of cittlet the 74 ovolo,l, .41 tl'et ..{,sit 1,1 locel 1,, 1.11l4
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
ELECTRIC
0 OTHER
No. Bath.
ilNo. Sttirles No, Rooms
CERTIFICATE 0901.
of EXEMPTION
No. of Dwellings
Reed. inlot Raced.
Enum. Dist
LOCatIMI (Amo)
WATER
SEwE
Owners.
Public 0 Private
USE CODE
000007 APPLICATION 54/07/1111 ,AN 1
SPECIAL APPROVALS
NAME DATE
me. Noe I
9, morn.,
01809(44.94
u Miss
„,%.,„„„.
SPECIAL CONDITIONS:
o'
FEES COLLECTED
gle
Building
Plumbing
Mach. ira
Plan Check
SEPA
Mobile Home
Other 1936.10
TOTAL
a
PERMIT NUMBER
t0-,0 0357 p17910,46
•*.
4
• 120:
.1200
• 1200
•000.
09-17-80
9 6479.
9/894.1