1980, 11-24 Permit: M80B-467 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE
///�/V
PLAN NUM•
APPLICATION/PERMIT
MITNUrnBEM1
M0. —lJis
SPOKANE COUNTY — BUILDING CODES DEPARTMENT . ' --- '-' ti
NORTH 1311 JEFFERSON / SPOKANE. wABNINOTON 99360 / ISOM 4663SM
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
MS ADDRESsZ ss// y �BT,.y
t e.
�K�
LEGAL DESCRIPTION -SEE ATTACHED
I14 • w7.OQ
e700,�
D Is
LOT DLO UB V ION
2
PARCEL NUMBER/S.
4FnA
OWNER_
3. J.4jrp5 /f. CvyN
PHONE
9LZ-//73
r.°-18-80
ADDRESS
c' /ego,/ /B r^'
ZIP
S7Z/C
Actual salBasin Fee
e1Somb t IW«t
6479.
CONTRACTOR
Zi4/1FE
PHONE
Size or Palcei Zone CNulllollon
nADDCDRESSr
ZIP
Tyne Confit. Occupanq SP.....,
DESIGNER
6'
PHONE
Veluanon Building Ara In SV. Ft.
ADDRESS
ZIP
Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO
e.
Area at Decks Flnimea easement Unfln. Basement
TYPE p N[W ID ALT. ❑0 AD'N. ❑PPL ❑MVO.
0
No. Baths No. MON.
No. Rooms No. of Dwellings
T. OF OTHER
worn,., 0 BLD, ..' 0 PUN. ►J MDCM. 0 M.N. 0 POOL
CERTIFICATE
of EXEMPTION
Rep'd. Rec 0. Plot R.'d.
'OISCRISS WORN
,EyEviF/ Sr .1$
"um. Dill. Louuon IArwl
FEES COLLECTED
VAL qT ON SOURCE OM ELECTRIC WATER SEWER
',0S'
UTIlIT1EB�
°wise's, USE CODE
Public OPrlvate ❑
SI $
.....V...................,
1 hereby certify that I have read and examined this application and have lead the "NOTICE" provisions included
on reverse aide, and know the same to be true and correct. All u owsiuns ul laws alt, uilliiiances governing this
pl
Building
type of work will be compiled with whether specified herein to lot. I he granting of i tetonit does not presume
to goe authority to violate or cancel the provisions of any other slate or local law egu ai ng construction or the
SEE REVERSESIDE FOR REQUIRED INSPECTIONS
Plumbing
t performance of construction.
y,J
�
DATE OF APPLICATIONCP— /7 — SIGNATURE OF AI'PLICAN%k-—___.
Mecli.%.Oo
•• SPECIAL APPROVALS
DATE
MIICIAL CONDITION*:
Pen Chwk
NAME
Inv. Hullo
*EPA
' 4laenlne
Moble
M.rehae
IIfy,EnalwMr
Home
C
other 18P.clfvlilm
TOTAL S 74?
S
P.els EaamInt,
WHEN MACHINE VALIDATED
IN THIS SPACE.