1980, 01-15 Permit: 80-262 InspectINSPECTION RECORD
OWNER - „LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
I
1
A1101.1UA I SUN/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
•,m.eme NORTH 1311 JEFFERSON / SPOKANE. WASH /ROTOR 89260 00916E6 -3M
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
.100 ADDRESS .
LOT OLN St./MAVIS...4
14
LEGAL DESCRIPTION — SEE ATTACHED
P RE L E
1-.o Q../1-1L09,‘IN`r,
3.
AD D R ESS
1.1Qr•
CON3BACTOP
4. 14QS14.1001,.
ADETSS a 0,4 ,.....c\i„s.v.0z„)
q5k--413
ZIP
ResullNI Set Backs In Feet
North 1Soutk fast IwBB
PHONE Size of ',rug!
Zona Classification
OESIONER
5. ADDRESS
qcia07
PHONE
TYpe COnst.
occupancy
Sprinkler,.
Oyes Ono 013aq,
aluatIon
BukOlne Area In Sp. Ft.
ZIP
OWL Area
Batemmt Area
eliNka Area
CHANGE OF USE FROM
TO
Spilt Entry
Split Laval
TYPE 0
7. OF
wORK
0 ALT. 13o.. 0 RPL. 0 !AVE.
o PLMS. 2<c*; 0 M.H. 0POOL
0 OTHER
Nu. Rooms
Pet. PoOM
CERTIFICATE
of EXEMPTION
Rtt
55.
VALUAT
9.
CfSource 1.7+
Ogrias
h 5T00 J
Le IBC W
I hereby ceitify that I have leod J11,1 exdinined 1110 application aild hiwe iedil the N0)1 IkL ovisions 11001derl
ieverse (We, toe! know the SaiBe 01110' coBeck pitivisions IdWS this
type ot work will be complied with whethei apecifted h istiiii noi The gidlitirly til ki ,,I1,1 not pieseitie
to give authority to violate or cancel the provisions of y tithe, t1i local ialni jciiristitiction ni thii
PerfOrntance of construction.
wl L 1- ILl'-'1X) Litt yt.14
DEPT.
ECIAL APPROVALS
REQ., REC'D
Env. Health
Planning
Fire Maul,.
Ca. Eneinver
Zone Ciaarance
I SEM Checklist
SPECIA OITIONS:
FEES COLLECTED
Sing. 5
Building
Plumbing
01,2_Mech.
Plan Chmk
SEPA
Mobile Home
Other (Spec.NI
TOTAL
DATE
PERMIT NUNWER
t -g
08* " *9.00
*9.00 05
•9009
.000 8
2612
01-15-80
2 6579.
o-eeeeweesreieiteek
WHEN MACH
t
re.
5.