1980, 11-10 Permit: 80B-1778 Inspect .y
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK_
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
7
PLAN NUMBER I APPLICATION/PERMIT
MIT NUMBER -----I
SPOKANE COUNTY SP BUILDING CODES DEPARTMENT M I PERMIT
/7 7g. I *66jNOflTN 811 JEFFERSON/SPOKANE,WggNINOTON 88180/16W1 a1a.36]8
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES ,
JOB ADDRESS
/ /� LEGAL DESCRIPTION-SEE ATTACHED u C a I
1, C 2 i sLDcaueDl 1 `' e Z 0 0
2 PARCEL NUMBER/5 •7.Q D
PHONE
a 7 47:2.4.4.1-vi 9-2-2$?�-7 17?
/a7/GP gQ Lc ZIP AngMsxletk.mP- 10-10-80
>J TRgC.eC A �p Qo•�e/NE wtn Igoytn
t no41 Sim of Parmi Zone Cbxlllu lenrt 4 6 4 7 9.
• 4' REBS
_ �M'� 21P TYM Conrt. I Octuoen SNJlnklxee
OLBIONER P010050, Oyes 0 0Reece.
6. ADDRESS
PHONE lama Area In SA Ft.
11P Maln Floor I UPPer Floor, perces Area Storage
CHANGE OF USE FROM ITU -
Q Area o1 pecks I Flnl,he8 Basement I untie.BaMment
•
TVP[ 0 NOW 0 ALT. O AD'N. ❑RPL. ❑MVI. N0.Beth, I No.Stories 1 No.Rooms �No.of Dwelling.
T WO0 OTN[R IJI
RN 0 BLD. 0 PLIAS. Xi OWN, 0 M.H. 0 POOL CERTIFICATE R00% I Ree d. INol Rum
FSCRIe! qN of EXEMPTION
�/ • Enure.Pitt, I Location(Ary)
9 v LL FEES COLLECTED `
A NQF � 2c
SEWER Owner,' USE CODE YI?
B• nu El Pubu<DP<r,t.❑I
I hereby certify that I have toad and examined Ibis apptcahon and have toad the"NOTICE' Single S ' 1:t
On reverseside,and know the same to betrue and correct.All provisions of laws and I uv eons ncludeis
type of work will be complied With whether specified herein of not.The granting UI governing this pUilalrq
to give authority to violate Or cancel the provisions of any other state or local law regulating 1 not presumeat y_ �,
PperformEnCe of constfuctlon.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS 9 construction or the
%umbiM ,,y 1
4104H.
DATE OF APPLICATION_(//if7 SIGNATURE OF APPI.1t:ANT t
Me h. 07.2g.
SPECIAL APPROVALS SPECIAL CONDITIONS: "
6 DAIS
r. ae Plan Cluck .e'U tY4 VIA
II
a��n na P SEM �1h 7
L,. � pt
M M1a Mobile Nome
T.
Inr, Other ISPecifvll ,.K .'�,.
•
•
?�p0 .,
MI E7mine, i TOTAL !