1980, 11-18 Permit: 80B-1258 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E
SET BACKS
DATE
TYPE OF WORK
FINAL INSPECTION:
REM RKS:
,1
SPOKANE COUNTY 4- BUILDING CODES DEPARTMENT
N0877111 JEFFERSON / SPOKANE. WASHINGTON SSZNO / 111011116.3670
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
I.
"P. -471,1
C" q.3, q 2 d4 t1J
PHONE
�i1L 3H3S
L pRiss
.Q-JSU
DESIGNER
6' ADDRESS
CHANGE OF USE PROM 1r0
N 91It
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUM0ERn
Actual Set Rad. In Feel
North 133617
Sue o1 Paul 4300 Cuulllutlon
It
�w.
•
Q
ZIP
PHONE
/Type Cone
vnuauo.
TYPE 0 Noy
7. a 1.14:11WORN
210
D ALT. Down. DRP_ 0MVE.
0 IRAN. ® MECH. 0 0.H 0 POOL
0 OTHER
Man Floor
.000077
SPrinNINw
DT. Ono 001.'3
Du Oliva Ar. In S3. Fl.
UPPer Floor f Gorge Area Stens.
na aatna No. Stool. 1 No. Room.R l0. of 001.1117,:
d.{vol 01.•0.
CERTIFICATE
of EXEMPTION
M.'3.
Enum. Dial.
SCRIBE WORNTIES�E CTRIC w ERj SEWER
I hereby certify that I have reed and examined dos application and haw: ,veil lhv ..N1111C1 • uluvowni included
on reverse ddb, and know the same to be true and 0011761. All pruvisouns of laws .,011 uldmonces governing shls
type 01 work will be Complied 01111 whether spa311co I, i m 003 stouts l uIwoo., duns not
to give authority to .101110 Or cancel 1117 p,00,3iOIH a any other state co lona! law 1701.1,1 c nsIIUCiiOnr Or pompon
pr5OI0MICe 01 ccmt0Ictlon.SEE REVERSE SIDE FOR REOUIREDINSPECTIIONS/
DATE OF ArrLItiATION"-Po IUNAl*I1E III APPLICANT L`—]
![OPAL APPROVALS SPECIAL CONDITIONS;
HAMS DATE
Location lAr.l
Ow no. ip
Public Cl Alva. o
Ih
USE CODE
FEES COLLECTED
Single
SulIdine
Plumbing
Moab.
Pal Check
MPA
Mobilo game
00046 ISPMlty)
TOTAL f7
'1
04• •7.00
•7.00 B
10-01-80
64TO