1981, 01-05 Permit: 80B-4663 Inspect INSPECI•ION RECORD
ADDRESS
DATE REMARKS
— I 0,/"e0 • ,e
^�A
y'��� y TN BE I
Y /�/�SO rt.-- _,. .. . •. •.. SUsC'� h2G43 V
SPOT RTMENT 1
OATH 811 JEFFERSON/SPOKANE,WASHINGTON pptBO/MOB/e6e3e7E
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HAiI I U MAKE 3 COPIES •
Joe ADDRESS 29200,,
G DSTA 11116 LEGAL DESCRIPTION—SEE ATTACHED r,2 0 0
LOT BLL�K SUBDIV ION PARCEL NUMRER/S
2. S 2 SLoJw'2. ADDt T10N ,°2000
OWNERE •rne
A
a :;sem-- Faotry, C� tdagc 23534-030'
.. u
ADDRESS ZIP
5.13'14 Actual
FEiiRA4. 4q O'0.. m 'Backs .
soutnR 15' (west 15'
CONTRACTOR .HONE sl:. —05-80
4. AM6 IooA 134. 50-.4LE Fwrsils.V 6 0 7 9
ESS ZIP Type Const. Occupancy
SEv a Oyes Ono Sprinkler.
Am,.
yP.+
DESIGNER PHONE Ian Building Arm n s
411:S. ADDRESS ZIP Main how Upper FloorsArea Morepe
9
131 II — 351r --
CHANGE OF USE FROM TO Area of Decks Finish.Basement Ung,Basement
a — — 1361
No.0 RPL. 0 M sans no.StoriesO Rooms NC. 1 Dwellings
TYPE E�NEW 0 ALT. 0 AWN.
T F
woRlt BLD. 0 PLM.. 0 MECH. 0 M H 0 POOL 0 OTHER CERTIFICATE
of EXEMPTION Rao` .c a. P1�Res e.
R
DESCRIBE WORK Enum.Ont. Location(Arm) 1 II
ANaLG IL E TV. -V Pe PATE rn FEES COLLECTED
A�l VALUATION 5 ELECTRIC 11 EWER E CODE
g"5�4D ZPTCES L Pnc a ou.�DP..t. USE
c /1
Single $ I J
14 Buil
I reverseby certfy ar0 kMai lh a1 I II II -r 11 N 1.1
oe stele,and 1 - I g laws '• tllnp 24z'm
type work w II be compiled 1 .I I mg. Dm mann, i
o give.othor ty to violate or cancel the i rov s oI s cal env ulhte st,c cal ie.iegolc t11 r1
Performaece of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATF OF APPI II A I INN.1.1.".3.---Fe' Mech-
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Chock
SEPA
•
Mobile Home
•i. — Other lSomily1
•
•
4