1980, 12-18 Permit: G80B-4949 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE
REMARKS:
fi.,-e-L-H 6-6Z
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH alt JEFFERSON / SPOKANE. WASHINGTON 99200 / 1509I 4563515
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
ADDRESS
LOT 7 91111 1 5D .1Z N
AR _ • I
NERR
O
Ff' TOR
"e/o65 AC
LLi S
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
• - oe3
9 3,o 6
PARCEL NUMBER/S
auwiar M Fw{,
e..«ISouttl
',fa '
PHONE
• 9aa L
PHONE
zip
I
t:1..
.cle.nmuonklered
opo kN0 oo,
OUIMm9 Area In So. Ft.
Oara9. Area
Size of Parcel
CIOCUprinCy
Valuation
Main FlOCH
079.r Floors
Storage
CHANGE OF USE FROM
a
1TD
Area of becks
Finished element
Unf In. b..mant
TVP[
7. WF
ORK
D N[W 0 ALT. 0 A011. 0 RPL
,��/ ❑ M01
. 0 OTHER
0 M.O. 0 PLM[, ID MECH. 0 M.M. 0 POOL
No. Seta, I 710, 5lnrlas I 710. Roomso. of [...esR l
I/I 5. lot
CERTIFICATE Rog..
of EXEMPTION
& RISE AR
lam VA A ON SOURCE L
B. UTILITIES
E7um, Om.
Location (Area)
ELECTRIC
ELECTRIC
WATER
SEWER
Own.rmlP
Public 0 PNv2l. Q
USE CODE
hereby certify (hal I have read and exammed this application and have read the ''NOT1r'r-' pr.ovisions included
on reverse aide, and know the same to be true and correct. All provisions of laws and oil finances governing this
type ot work will be complied with whether specified herein or nut. The granting 01 aor n, doe< not presume
to give authority to violate or cancel the provisions of any other ,tale or local law I ego,.,, �'.'u construction or rhe
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTI NS
DATE OF APPLICATION /Z/6/8V SIGNATURE (1F APPLII,ANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Hy.
}80X79
to. EMlnaa,
1NIa11ea
Wane Eeamin.r
0
/6'V c1-6-0 .fir
21)--j±wtory
FEES COLLECTED
5 031
89114179
Plumbing
M.0. Ja W
Plan Check
NPA
Mobile Nom.
Other Wpm fyl
TOTAL PO
04• *120
• 120 dr 3I
•12001x:
•000 'd
494R9
12-1.7-8�0
4°