1980, 10-29 Permit: 80B-2661 Inspect• k
MISPECTIODi RECORD
ADDRFiS
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APPLICATION/PERMIT
I6+2.ii$O SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 99200 / 1500) 456-3676
I :. APPLICANT' COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
� TN
LOT BIOCKCBl/001VISIon
Z 9 /OWNE
3, $ < RG CONST2NG770N
DRESS
Act dor ,exesz3
CONTRACTOR
s
LEGAL DESCRIPTION - SEE ATTACHED
ADo.rro/P
PHONE
924/-5/lav
PARCEL NUMBER'S
2654/-2664
ZIP
4,73/3
PHONE
Actual Set Backs In Feet
1Soutn !o' I to 7 Io.n 7'
3onSie cNmu
Ntlf/9M/4 V
Size of RN.
90X2!3
XIP
641,74 -
Type Cong.
AI
Occupancy SPrinklHed
2-3 Ove, ONo 0 Rea'g.
DESIGNER
S' AGGRESS
PHONE
Bulkilng Arm In S0. Ft.
ZA 8
ZIP
Main Floor
Floorsnge
a79rePAr.. o
CHANGE OF USE FROM
TO
], OF*yr.
.&{NEW 0 ALT. 0 AWN. 0 RPL. 0 MVE. O OTHER
WORK LI BLD. 0 0.MB. EJ MECH. 0 M.H. 0 POOL
DESCRIBE WORN
8 4/4151'c.n *g/ 37 a 6 i1
TION So REE GArTELECTRIC WATER SEWER
ttrSet (.4. DTI 2rTIES c.
e.tiAea A6Decks Finished Basement Basement
r i4,4 I /36o
No. Stories
No Rooms
Na. of Dwellings
I
CERTIFICATE
of EXEMPTION
Roo,
Rec e. r,.-.
Enum. DM.
Loutlon (Areal
Pu511 Nh1P
Pl.. 0 Private Pi
USE CODE
i hei shy CM lily that 1 hove !sad and r'Inc.! this a r a 111e ! ! included
' .Main In ul!1 .. .ri � ., �.I 'n!� !4/1510115 Ir
ob r e s k
Side, and the sr! I me u he 0.e. and !.. n'I .... nl bawl 1 gm
oveln0 11115
typeer lwork wellbe complied with Whether specil,( heleln ,, not 01 presume
to give authority to violate a cahcel the p oyiSIOIlS ul .Illy nh., sl .r Intal I,,, I! ISDUcllml i,, the
performance of Construction. SEE REVERSE SIDE FOR REOUIRFU INSPECTIONS
OA ft OF APPLICATION /0—'1 -BO ._.. Shllr .,,
SPECIAL APPROVALS SPECIAL CONDITIONS: /�
NAME DATE 4/fE(9, 4 1,-}
ns Bkemin.r � 1
FEES COLLECTED
Engl
Building #$J06. DO
Plumbing
Mach.
Ran Chock
SEPA
Mobilo Kam
010.2 (6lM2lfy)
TOTAL 63/:100
MIT NUMBER
8013-2G G1
•31300
*31300 E!
•31300'
*DOA 8
'6609
10-20-8A
se 6479.
C