1980, 10-09 Permit: 80B-1699 Inspect INSPECTION RECORD •
OWNER LOCATION
CONTRACTOR TYPE OF WORK
FINAL INSPECTION:
SET BACKS
DATE REMARKS:
T
I1R.Aa1 NDMi[R 1 APPLICATION/PERMIT" � $-16' ..
b SPOKANE COUNTY—BUILDING CODES DEPARTMENT s I
NORTH 011 JEFFERSON/SPOKANE,WASHINGTON MOO/1808)4e&3878
!'I( APPLICANT. COMPLETE NUMBERED SPACES- PRESS HARD TO MAKE 3 COPIES O j. .1050
' e woos>%9R ....... 4.<
/r•<� LEGAL DESCRIPTION-SEE ATTACHED •10.50'
LOT BLOCR RU[DIVIBION 7`C' PARCEL NUMBER'S •10.50
2 N •500 1
ownER
.s/ y
-� siLy
1 6
ADDR[es /SD?, ZIP etn . Ihao
/� Actual
70/ , /33 3 a 'ai S smut v
wn Eart Iweat 1 0-09-90
CONTRACTOR ! PHONE Siaa if Parcae na CNaallleatlon
♦ 7,7,: -.4/ -.1M.vs+bixy Trw conal o•cvwnw - 6479
ADDRESS ZIP spr okras
/Gay E �ary //a > oHE o ❑y., Ono ❑R.. . •B';.
DESIGNER P Valuation Building Area In So.Ft.d
S' ADDRESS ZIP Main 1.100, Upper Floors Garage Ana 5101.0
CHANGE OF USE FROM TO AMA of Dads Flnkfl A BNamant Unnn.eimment '..
a
TVR No.Battu No.Stories I No.Rooms No.of Dwelling.
❑NEWT. 0 AD'N, 0 RPL 0 glut. Ijl
i WORN OSLO.7. ornLMS. 0 MECH. 0 M.H. 0 Pool OTHER CERTIFICATE Ragra. Reed. �1of Rued.
of EXEMPTION
8. O,,..,{ f1 N,S-Xy/ x,71/ /24.14, ,,r d,, I emir,OM. ncanon(Arse) FEES COLLECTED
VALUATION SOURCE OAS ELECTRIC WATER ER r Ownwsnet
USE CODE
r �Q UTILITIES Public O Priest.D Single $
I hereby cattily that I have read and exainmed Ibis allyli1 11 00 and her, the"NO'i n.n.crr uded
on reverse side,and know the sense lu be live and c i o t law, i, g III,s ,,.. .
type I work will Ue complied with whether cpee/l a .. t g p va nt '
W Rive authority to violate or cancel the provisions ui ally 0t c state,a 101:51 law Sgt r J,onstruction ul the7 50
i1y1P/rtormenoa of 1OOlnitruetion.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
I
DATE OF APPLICATION /O,. _� —SIGNATuNL Or n1,l ir.,1iv 1 l� '�"`.� Mooh.
SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE Plan Chock
.,,Env.Health
SIPA
nn ng
Mobile Hem. r.`
b 00
other IEoacifvl'S
iiiiii
I MO. �c S"a_ r
TOTAL e