1980, 12-02 Permit: Permit: 80B-3509 Inspect 001,,_
1.
411
�,7 INSPECTION RECORD
iii. OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DAT ii R MARKS:
4
-2111111r
iLAN iuM1aA APPLICATION/PERMIT ./�/�,
SPOKANE COUNTY—BUILDING CODES DEPARTMENT " MM. II ,
WORTH atl JEFFERSON/SPOKANE,WASHINGTON SSZeo/ISM 4611-3676
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES II,
R JOB ADDRESS n/
I.'1..04 S9B�+� eL1YoN fU1I,PPLY LEGAL DESCRIPTION—SEEATTACHED a• *7.OD
II BERN •�00 III
2PARCEL •NDM .7.0 U iS
OWNER
_. .a :Tphu Tsncn Ay Pp -vq/y 28= al v.0 n •000 S
ADDRESS Actual Set PENG In Feet
S6t(/r% 46 iv /44/PZ Y noon s--ISoutn ." I est 'West 3511.0
CONTRASTOR ONE SIN.of Parser Zone Classification I1-10-80
�!1//J IF r41Als Chrrf Mv-ie C. 9", f--c460
• a. s Tree court OccoPensr SIF Mrsrsd 9 6479.
t 8'/c m/1.F.w:i'i r<d D.., 0No 0 ean•e.
DESIGNER PHONE Valuation Builane Area In SR.Fr.
S' ADDRESS ZIP Main Floor Upper Floors Wrap Area Stornoe
CHARGE OF USE FROM TO Arm of Dacia FInlanm anemone Unfln.Bailmentiril
TVPCNa Bata. I No.Storl.a o.Room INo.of Dwalllnaa
0 NEW 0 ALT. 0 ADW. 0 RPL. 0 M
TroDWRN BLD. 0 PLM.. a- ECT. 0 MH. 0 POOL OTHR CERTIFICATE asd. a d. Por R.e'd.
of EXEMPTION
1,SR/!J f IiiG VNIY}CFEESCOLLECTEDWER OwfleMIS USC CODE UTI�oTIl4 Publoc❑Power.❑ Sleereby certify that I have read and examined this application and hve read the"NOTICE ovieione included
reverse side,end know the tame to be true and correct.All prov mlorn of laws and ordiancesgoverngts BeadIna
give authority to violate or cancel the provisions of any other state,n local law reguWnny construction or the
formance o1 comtructlon.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing•
7)
TE OF APPLICATION//'—AF _SIGNATURE OF APFLILANT1ta.� MeM.SPECIAL APPROVALS SECIAL CONDITIONS:
NAME DATE Plan Cheek
....uaBEPA
,MabllaHama
TOTAL $ 700
. __ . _.._ .... ,:41:,:'
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