1980, 07-28 Permit: 79-9182 Inspect•. • 7
PLAN NUMBER l/ APPLICATION/PERMIT �PERMITNUM 1°1-72 fii-X I '
I SPOKANE COUNTY—BUILDING CODES DEPARTMENT •'
NORTH all JErfERSON/SPOKANE,WASHINGTON eva00110001 eeaanv0 - DATE //-a6-a9 . -
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 4 COPIES •
- 04• •'9.OQ
71:L191111...(16,
ns/s1s�/7] (5(5//))/I,( .,- f LEGAL DESCRIPTION-SEE ATTACHED •9,00 b r
1LOT /SLLOI. 15UM80IVIJ10I1i_P.f1/ PARCEL NUMBER'S •9008
Z. OWNER Or'ig//e��0hAJr,Cl-,0 F�b'G_h'�791018
E aQQQ 8
3. ADDRESS ZIP 'Required Set Becks In Feel 9 1 E 1
eoN�Rt pp1��'��_. l� PHONE SI.or Parc* 'South
Ave.Clwww lone! - 12-17.-79
�fl f7) I4 .41FINa Jr,C. ,5/-S'-''/J7)3 Za 2 6479.
4' ADDRE �� ;�� �4R^�D l Type Conf� O[cuOencY SOrinklore0
y9 (1 J ❑ae, ❑No ❑Fep'e.
OESIONER PHONE ValoatP n9 run .
B' ADDRESS :e OWL Arm Sawnw t Ar araw Arm stores. -
CHANGE OF USE FROM TO Spilt Enl.,' SPIN Leval Ranehal
A
I No.BthNo Floor, No.Room
Rec.Room
•
.r‘..E NEW ❑ALT. .AO'N. ❑RPL. ❑AWE. 0OTHERT' OPWORKD eLD. ❑FIMe. (94-uEeN. ❑m.N. ❑roOL CERTIFICATE Ree. Re[I. rot Ree
d.
of EXEMPTION
•
ItI�Si
DES=WORM r� - ' _ FEES COLLECTED ` 1 FELE
VALe. UATION w Shy. dd,li/^ALSeV1e`re,-J ELE TRIC WATER SEWER I■■l I "
o;
g, ul Ns � single S _
I hereby certify that I have read and examined this application Jon have lead the"NOI WI led
reverseon side,and know the sante to bet and correct All Illrvlsinrls nl laws a - mon guvo lots Building
type of walk will lie complied with whether utecif tett herein o i1.The wanting III., l
,Ir ' lot Urusulnu
to give authority to violate a cancel the provlsions.of any other state or local law r Iii n'lm',Instruction or rho Plumbing
performance off construction. exit /(���,�/�- J 3:00
DATE WHDI26� SIUNAIUIII _ exi /[ACEs-"�.. ( - Moe, 'IY AD
SPECIAL APPROVALS SPECIA DITIONS:
DEPT. RELY. RECD. Plan Check
Env.Heellh
SEPA
Planing -
Mobile Home -
F.Aboanati
Ce.ERMpmr Other lapegifrl '
TOTAL EJ,
Zone Clearance
A. WHEN*ACHING VAI ICA I I I,iii.,
**PA c0.caro, INK III rnlN Cllu'L n *9.OA°12
12"'1�_/ 7192
non 1:.117 OFFICIAL OJT. LY/M.rv1.AA.. ...
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR _ TYPE OF WORK
NSEW FINAL INSPECTION:
SET BACKS
DATE REMARKS: