1980, 10-31 Permit: 80B-643 Inspect 1
,
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
0_3/.0 phr6,,A,g
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7
19,LAN NUMBER P APPLICATION/PERMIT PERIIMRER - .?da-c.s3 .
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON/:WOK AN E.WASHINGTON 813200/16060 AISS-3/3/S ptA JP
s
APPLICAN E. COMPLETE NUMBERED SPACIO PIII IP:'rAlli)TO MANE 3 COPIES
0 ACJORFSS ..'• •3 a o o
LEGAL DESCRIPTION-SEE ATTACHED
•7,P01.1 1
PARCLL NUMBER/5
2.
.3800e '
3. OWNE _,..za.:6,66, PHONE ,
•500 £
ADORE ZIP Actual Set Backs in Feet
IWest
.C...031lfy.417....R. e...„6 PHONE Size u/Parcel To'ne ClessIfication OY-22-80
7.2.V OW-i
4. ADDRESS ZIP Type Const. occupancy Sottoktwed
'I ..__ CP-4-4.44--.6 91,0%.?../C. Dv.. IDN. 0 Rep,.
D ESIOIBER PHONE V•Iostion Building Area in Sp.Ft.
6. ADDRESS ZIP Maln Floor Upper Floors Garage Agee Storage
CHANGE OF USE FROM TO Area of Docks Finished Basement Unflo.Basement
O.
•
TV'. ELP12550 ALT. 0 AWN. 0 RPL0 MBE No.Baths No.Stories j NO.Rooms No.of°wettings
— .
7. OF .
WORK OSLO. a.aefFe. 0 MECH. LI OTHER M.H.m.o. 0 POOL CERTIFICATE Rep, Recto. ro,Reg,
of EXEMPTION
8.
D ESCRIBE WORK Eno.,011f. loution(Are./ oL, „ 1\,..., i, ....)1/4.1
VALUATIOEEOC „ ,
N ellAtle‘i44)ELECTRIC WATER SEWER owtsatsptp uSE COM
OF
O. UTILITIES Public Li Private 0
Smola S
I hereby certify that I have read and examined thR applesPirri -eel have irsdl iD .. n,ove,Irrir.Included
on reverse side,end know the same ttt be true and Lot tect All 0 wh.p,.tst Ipw..,0 tip tp s It.BOVE,lllEt1 flllS Building
type of work will be complied with whether speedied nen,.d.nni L.,+own,nl ,.—,..lder not pie,unre
to give authority to violate 01 camel the provisions or.y nth,,,tdre L 1 locd 1.1.Imo.,,e,constinctrun or the
.:pfiTformance of conetruction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS PlPfnorne dela'
DA FF OF APPLICA I ION _Sit.,OM,1 ',11'1 lk-AINI,: 2-"(-1,e,e,e. 6....
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Pion Cheek --.
. ..
linv.11.1111 3 co C.,
POPPIES — / a-4,4 SEPA
i FO Mobilo Horne
.611111.111. 1 j"'114'
•. ns Nun 45) Other ISAKIly)
n i 0, / CO.#
Z,3 il.....E.,"... TOTAL $ i
PtiTLEONINE
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