1980, 07-07 Permit: P80-5291 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARK
illumm
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH al t JEFFERSON / SPOKANE, wA6NINOTON 503E0 / 16061 .a0-3016
APPLICANT:COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOE ADD �1
1. I��- �K
LEGAL DESCRIPTION — SEE ATTACHED
LOT L�DCIst�61J3C1b{Y
Z
P ARCEL NUM[ER/S
OWNERnK.
a ALYt0 ! ` IAr�.aliniin
Q
PHONE
a.
QAU-'T�YTI
ADORES
(�
4 I(,- Pis m -k. Au.-
'nCQ
ZIP
9a ci'?Tl
Actual Set Savo In FM
ac
orts IEovls R Led
CONTR OR +
k. 1.'1IiLZ II e -)a,0 [7C L
PHONE
1�15EijL[))
I na aa of Parcel SO. CRMIfIM1Ion
E *ODA
C'.g,°S Seca.
Aty.
SIP
ctclltDR
PHONE
S6V Sprinkler.
Type Cond. O(Nw
R'd.
❑Vn ❑No ❑y
Valuation EuINIM Area In W. ft.
DESIGNER
6'
ADDRESS
ZIP
Main Flee, I Udwr Moor. mea Area etor.M
CHANGE OF USE FROM TO
Area 0f CaeML Finished moment Unnn. Basement
TVP[ p N ❑ ALT. I:1 AD N. ❑ RISS ❑ M OTHER
I
i. IDLM
eD. )0 PL[. 0 MM.
WORN [CH. ❑ N. ❑ POOL
No. eotkr I No. aterler I No. Ream'�Ne. el Dwelling,
CERTIFICATE L/I Roo,. Roc d. Elot Surd.
of EXEMPTION
DESCRIER WORK r _ �^
B atA`.17CICE 1(1i[ �l Ef�Pr A'
[nom. Dist. Loeatlen Ur 1
FITS COLLECTED
Elnpl •
VALU I UAC[ GAa [CICTRIC I WATER SEWER
EWER
t UTI�IFIES
Ownaronlo USE COO[
6440110 ❑Private 0
I hereby certify that I have read end e0emined the application and have read the "NOTICE" provisions Included
on reverse side, and know the same to be true and Correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
a thorltv to violate or cancel the provisions of any other state or local law regulating construction or the
d0aau
pa mwnga of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
EulldinS
y0
ap)-
pi
DATE OF APPLICATION SIGNATURE OF APPLICANT
M as
MCIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
Plan Cluck
SEPA
5Rv. MMltn
El nine
Mobile Morrie
Ilya Ma.onail
Other (Specify)
to. Eneoear
utfy...
TOTAL 1 S
T NUMSEIi —� �'
�• .300
•300 E
•3008
•000 8
5200d
06-03-80
f 647ia�
.ars qy