1980, 10-03 Permit: 80B-0245 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE Of WORK
FINAL INSPECTION: /?1 -3 - P Ye,
DATE
it, 7-2
REMARKS:
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE. WASHINGTON 99260 / 1609) 4665675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
a
a
V, �al LEGAL DESCRIPTION —SEE ATTAQMED
OT I suosue 1VISIUN PARCEL NUMBER/.
`"Yn ►IF6►wJPet
ON�i7�p�I t+i►ilon1
ADMEN
��vlr//
Actual Sat Racks In FRH
North ISaatn
Sim of Parcel
(West
PHONE ions cMOmuuon
Typo Co..
OccupanCY
ONIONER
D' ADDRESS
PHONE
Seraelead
❑veld ONo ❑ 0am0.
Building Area In S'1. Ft.
21P
Main Floor
Upper Floors
CNANOE OF USE PROM
a
TO
Area of Decks
Finished Eammmt
Area I storage
Unlln. Basement
�PP'
WORN ❑SLD.0 rum.
DEED{IJ��eE�reo, a� ��
& vALUATIDN `�'W'V
UTIL TIN
a
❑JAM 0 RPL. ❑ MOE.
L'J MECH. 0 M.H. 0 POOL
0 OTHER
OM
ELECTRIC
WATER
.EWER
No. Batas I No. SI..
CERTIFICATE a5'd.
of EXEMPTION
Eno , Det. !Location (Ara)
Owf:rmin USE CODE
Public 0 Prim. 0
No. of Dwailinpa
pea a. blot Rood.
No. Iloonl•
I hereby certify that 1 have read and examined this application and have read the "NOTICE" provisions included
on reverse side. end knout the same to be true and correct. All uvisions of laws and ordinances governing this
type of work will be complied with whether specified herein fit not The wanting 01 t pe.,nll does not presume
to give authority to violate or cancel the provisions of any other state of local law regulatlny construction or the
performance of construction. EE REVERSE SIDE FOR REQUIRED INSPECTIONS
q y
rDATE OF APPLICATION / 51GNnrH5 /1/ nvrt_I1.001 ♦ •0'/ '
u1PillOIAL APPROVALS SPECIAL CONDITIONS: 1
NAME DATE
Do Ins
FEES COLLECTED
Single $
Building
Numbing
Mach.
NM Check
SEPA
Mobile Ham
Other (Specify)
Luu�
09-15—B0
0 6479.
x_00
TOTAL S