1980, 12-17 Permit: 80B-4989 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 1111 JEFFERSON / SPOKANE. WASH 'NOTCH PP360 / 100E/ 4000070
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JO. ADDRESS
30 7eklc ue .
.41a.41rL, yeJ_
-.01IMFO
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUI...ER/s
NTRACT0
�
A EMS
WMONER
1
ZIP
9AzoPHONE
rz
9.21? -00 s4vs
ZIP
9942-IEL
Actual Set Sacra In Feet
late, Isaeth
alae or Parcel
eraclaaw1.01
rya* conn
Occupertay
salnRl0
Ovn Ono O R.rd.
PHONE
valuulen IRuIIYIM Aree In So. Ft.
ZIP
aln Floor
upper Plows I 0.1. Area
Arra of Nob
TVPa
EL
0 Naw 0 ALT. -..Ono,.. 0 0 MVE.
7• OP
oPP-.rm 0 •.. PLEfa. 0 MECH. O the. 0 POOL O OTHER
No. Mtns
No. Sta0a
Rooms INo. of Ow.ll
RAi
CERTIFICATE
el EXEMPTION
u m. Olst. Location IAlY1
.26. Nal Ree
sr
9.
• u s
tRlll Ip
ELEC
AT R SEWER
OWOIIMIe INE 0001
Public O Private 0
1 Hereby certify that I have reed and .0.0/0od this •pplic•tIon and have nerd the "NOTICE" pro...ions included
on revono side, and know the Gene to be True end correct. All provision. of laws and old,nances governing this
type of work will M candled with whether specified herein or no1. The granting Of a point does not Mune
Slra authority to v101ece Or 0M0.1 the Provisions of any other stats sir local 1.W fonalruc0on cal the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
OATS OF APPLICATION ..Z / 7--EG' SIGNATURE OF APPLICANT a�I
Iap1AL AAe000VALS
NAM. DATE
,. Ens. N .N.,,
IeIWAL CONINTIO IL
PEES COLLECTED
S nye S
BuildingPltralAng
J
fr 00
Lf.ch.
Plan Check
SIM
Other Ibe4N)
TOTAL J72L
03• •BO
080
0800
•son
u988f
12-17-B0
6479
WHIN MACHINE VALIDATED IN THIS SPACE,