1980, 02-11 Permit: 80B-3120 Inspect T
INSPECTION RECORD
o i ,ER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
`S-
"" `R APPLICATION/PERMIT PERMIT NUMB
SPOKANE COUNTY—BUILDING CODES DEPARTMENT ti -�� 3j��
.ire NORTH Bit JEFFERSON/SPOKANE,wASHINBTON 99360/15091 E66MM a
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS TrY LEGAL DESCRIPTION—SEE ATTACHED C4» +7,01
• 6./1/6/.6 /s ,701
SDP .LOCK EUBDIVgtON PARCE,,NUMBER*,
311.91
•
' ,z OWNER PHONE 1 1-03-80
a R•Cdivt.e, srWyF.at 9e8•ea7r,./
C
er SoN BacIn FON
I
6479.
A7/Ye./8 ,5-7•M 9,7037t !scum R Iwest
WrIOR PHONE Size of Parcel Zona classificationJ A�
4. ooRESS ZIP Type
Cone. O.WUPaney SO•WWwed
111019.1PAPre. Ov.a Ono O R.a'a. '
D ESIONER
ng Area
6• ADDRESS PHONE
rvE Valuation
Floor Upper Floors O r age Arse In Se.Stor.9e
CHANGE OF USE FROM TO Area of osem *woos Dawns.I Unfln.eawment
e.
TVP. 0 NEW 0 ALT. 0 AWN. ❑RPL 0 WE
T . No.Erna I no.Stories
No.Roomsof Ownimas
OF
WORK 0 PLO. 0LM..PerMECH. l7M.H. ❑POOL OTHER CERTIFICATE Amer Poe,. Piet Amer
om EXEMPTION
D ESCRIBE WORN Enu on IAr«1 PEES COLLECTED
& LnCaO,V404.•m".o 5 Eo✓6 oe.n <
VALUATION SOUR G CT Ric wATER sEwER P01e,gaig
UTIME9 c 0Private Dl pse CODEt3.1 ,
5191. B
I hereby Certify that I have read and a l nod this apphcan un and hove lead the"NOT t:L" i included
on reverse side,and know the same to betrue end correct,All nr evuions of laws and of dm decesgoverning this BOIMIn.
type of work will be complied with whether specified herein of ion.The manning of a menu does not presume
to give authority to violate of cancel the provisions of any othrl slue. ii local I 1111 1 i�l l nnrru o or the
performance of construction.SEE REVERSEIISIDE FOR R EOUIRED INSPECTI`d .a I / 1 n Plumbing -I AO
DATE OF APPLICATION_ MOI) SII/N Arum-or APPLICANT S E -..-rd, Mech. -t=
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
ay Sri.JIMIIR ..aria:,sow
AMISS— ----- EEPA /
FG Mannan Mobile Hoes.
ho.Eneln«r Other ISpecifvl
LUlnl« •
TOTAL B
• _ritmixaMiner
.BMEN MACHINE VAI In6TEn IN Tule MAPS �..,
4.
•