1980, 08-19 Permit: 80-3150 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK �- / q
FINAL INSPECTION: ...)Z l ) t71141 ele-rA
DATE
REMARKS:
rkPd
pLwN nureeR
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH B11 JEFFERSON / SPOKANE, WASHINGTON 60260 / (606)460.3676
PERMIT NUMBER
.5 i .s U
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
"'Fla
,.I80 0-rn>I.1,-r°r
2
a oD , rJo. JNlvtaz0sl-rr
LEGAL DESCRIPTION — SEE ATTACHED
6674
957.00
PARCEL NUMBER/!
06.-
60w,41 o ii, r9'^i)
A Iwo Se n F.« IA�
7 ae is � wt I4 kw.„
4' ADDRESS
*HONE
3h
Occusence
Sin of Parcel
4x�v4
ZIP
Tema Const.
Z6ne Clwmlu ton
ova, DNo k R. .
DESIGNER
6' ADORES!
PHONE
Valuation Bon
Valuation In So. Ft.
CHANOCOF USK FROM
TO
aP
main Floor UPPer Floors
Oaraw Arse
Paw o/ Dec Plnlww Basement
Untie. Basement
9.
TYPE IFT N[W
FORR
WO
' iiz5
UATION
O ALT. 0 AD'N, 0 RPL
0 MAW. 0 MECH. 0 M,N.
SOURCe
UTILITIES
OAS
ELECTRIC
❑/MVE.
0 OTHER
liPOOL
No. Bathe I No. Stories 1 I No. RoomsINo. of Demme.
R .ia. rot1,g1'0.
CERTIFICATE
/ EXEMPTION
Enum. Dist. !Location (prw)
Reo,
pTER
Notxxrl
RG
Puonc OPriem. d
USE CODE
I halahy certify that I have read and examined this application end have teed the "NUI HLF" nlovisions included
on reverse side, and know the seine to be true and correct, All provisions of laws and o.dlllances governing this
typow
of ork 10.1'c be mplied with whether spocihod herein n not, The granting 01 In•Ilnit floes noir nptasunne
to give authority 1,, violate or caticei the provisions of any other Siete m local Iery lrn:llulnitl r Ilstructinn OI rho
performance of conshuction./SEE
/REVERSE SIDE FOR REQUIRED INSPECTIO SS
',DATE OF APPLICATION( SIGNATURE OF APPLIt;ANFSCGy6'y^°
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
MAIL. 10 a14 J .
FEES COLLECTED
BI EI $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobil. Home
Other (SPecilv"
Pool,
TOTAL !
02* *2500
.2500 G,
*25008
*500
30648
04-03-80
2 6479.