1980, 05-05 Permit: 80-3731 Inspect T
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INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSEW
SET BACKS FINAL INSPECTION: F- a�o2- /74(1-Ake/
DATE BARKS: "
j 1d��.e_ /1,e ..%,,e %♦
7,
PLAN R NUMBEER
kw__ _.__� APPLICATION/PERMIT ____FERMI?NUMBER '
);I �
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
•
• _ - NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99360/15091 458.3675
,
APPLICANT: COMPLETE NUMBERED SPACES-PRF SS II.,III'I TO MAKE 3 COPIES
JOB ADORES
04• •7.00
t 16 12TH LEGAL DESCRIPTION-SEE ATTACHED •700
LDY BLOCK SUBDIVISION RCEL NUM9ER/S 7 7 3 0 3
2
PHONE
•
00-21-80
a DLI PIIOA M. W I LI,PCI O 5'8'6433 2 6479.
11:SS to IZTH
9gzbro BaPel5o
Feet
ed I ast Lest
PHONE sof Parcel Zone Classification
4. CONTRACTOR
SPA
$P16
ZIP Type Conn. OcCuPenCY
ONo al
SAM oyes R.
DESIGNER PHONE veluetion SWIM•Ares In Se.Ft.
S' ADDRESS ZIP NUM Floor Upper Floors Germs Area Storage
CHANGE OF USE FROM TO Arm of Oecus Finished Basement Unlln.Baeement
TYPE lb NEW 0 ALT. E❑AWN. 0 RPL. D SIVE No.Baths I NO.StoriesI No.Rooms IN..At 00.111nes
' WORK 0 BLD. 0 ALMS. ly MECH. 0 M.M. 0 POOL ❑OTHERCERTIFICATE IJI 00, Recd. pot Rm'd.
of ED%IMPTION I
le
DESCRIBE WORK WORK `-1 Enum. H. Location IAlml
a Z. n CLP_ RNWC� Fra OoI� ll roc sZO OC
PEES COLLECTED
-LUATION BOURCE GAS I ELECTRIC IWATER SEWER Ownership USI CODE
$. UTILITIES Public D PMN.1.D /Single $
I hereby c•I Lily that I have read mid•mentned Ihis application and have ioad the'•Ni. :,,.lone included _
un I coerce side,and know the same to be true and collect.All rrnVlaiinis cal laws:il l ,nnverning this
Building
type of work will be complied with whether specified herein or 0111.Hy.granlm0„I ' .n 1 no,PIBIu111•
to give authority to violate Or 05110.1 the pi°visions cal any other state.ii liii al law 101. :1110n nI 1119
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /.J� , Plumbing
DATE OF APPLICATION#-0,117.0 -.._SIGNATURE 01 APPI.'I:AN- (Y Mech. -1•ceO
SPECIAL APPROVALS SPECIAL CONDITIONEI Plan Cheek
NAME DATE
Env Health
SEPA
°canning 5
Fire Mershali Mobile Nome
Co.Engineer Other ISpecirrl
tJtnn�.. • - T
TOTAL $-LOC' �- '.
nuns a!nrnnler'----..--•