1980, 04-04 Permit: M80-3013 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS,: xiis3
.,Z -H /--)A
Vefa
64.E Per .mac f?a
'PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 9926E / 16091 236497E
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOE ADDRESS
lL_ ��dLOt.R�m�i�»vlsloN
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBERS
OWNER
3. .Van of .Be4W
ADDRESS
E.,4Sov /err
PHONE
911-/T ev
ZIP
99043.7
CONTRACTOR
4'
ADDRESS DRESS
PHONE
ZIP
DESIGNER
E. ADDRESS
PHONE
ZIP
Actual Set Becks In FM
Sit
(South et Leg
North
PM. Zone CKGlllotlan
TYCon. Occupancy Sorinklored
❑Yea ❑No ❑ Rp'a.
Valuation/3111161119 Area In So. Ft.
Main Floor Upper Floors Geste Area Storage
CHANGE OF USE FROM
6.
TO
Area of Deck.
Finished BlNment
0,011. ur«nent
TYPE NEW 0 ALT. 0AEON. RPL 0 MVR.
i B. wORN BLU. 0 PLMyr MECH. 0 M.H. 0 POOL
0 OTHER
No. Batty.
No. Stones
CERTIFICATE
of EXEMPTION
No. Rooms ro. of bweinnEe
Reba. Recd. Riot ANN.
DESCRIER WORK
d /uV A{TL(( it/ODQ ,a4e/Vbvc.SCSib v�
JAIUAi oN GAS LT RIC WATER
SOURCI
UTILITIES
Location (Arm)
SEWER
Ownerab I
Public 0 Whale 0
USE CODE
I hereby certify that I have read and examined this application and have read the "NOT ICE" provisions 'Included
arae aide, and know the same to be true and correct. All provisions of laws and (1ldinancae governing this
type of work will be compiled with whether specified herein or not. The granting of a permit dose not presume
to give authority to violate or cancel the provisions of any other state or local law Ienlllanny construction or Mr
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION Q SIGNATURE OF APPLICANT iefP�•bO//.. ((JP sr.� -
SPECIAL AMROVALS IPECIAL CONDITIONS; /V♦
NAME DATE
FEESCOLLECTED
SEEN 6
Bullding
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
7.0S
TOTAL S ' O O
301
P,1 lO
Ci)