1980, 12-30 Permit: M80B-5295 InspectINSPECTION RECORD
1
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK �
FINAL INSPECTION: f��
DATE
(
REMARKS:
L
PLAN NUMBER
t brADDRESS 7".
2
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH BIIJEFFERSON f SPOKANE, WASHINGTONgegao f 15091 466-3675
APPLICANT: COMPLETF NUMBERED SPACES PRESS I I,. I-0 MAKE 3 COPIES
LEGAL DESCRIPTION - SEE ATTACHED
III
R.03. ltTIM BKOSE
# O. 6o/c /3323
4
CONTRACTOR
5 Mr6 4. A/C
• ESS
C • 137/S fr/MUSJ./a-LO
DESIGNER
6' ADDRESS
PHONE -5/ey
7;"3
PARCEL NUMBER/6
Actual set Backs In FeetIW.
North 'South East
et
8 -cf76 o
Size of Parcel Eone Classification
Type COnet.
OccupanCY
red
Oyes DNo Ri0 Rem,
PHONE
Valuation Building Area In S0. Ft.
ZIP
Main Floor
Upper Floors Garage AIM.
Storage
CHANGE OF USE FROM
B.
TO
Area of Decks
Flnlmea Basement
TYPE IQ EW 0 ALT. 0�, /AD•N. 0 RPL. 0 MVE.
], OF
WORN , 0 OLD. 0 ALMS. %ECH. 0 M.H. 0 POOL
ESCRISE WORN
a Eta -c re Jerk
k r
q- w oe k
ALUATIONoD CE OAS
9. LTIE
0 OTHER
No. Baths
No. Stories I No. Rooms INo. of Dwellings
Roca. rot Reg a.
CERTIFICATE
of EXEMPTION
Erturn, Diet.
Locetmn (Are.)
SEWER
OwnershIe
Publico Private ❑
USE CODE
1 hereby certify that I have read and examined this aIphc'ation aur) have , arl the "N(I II_I ,�i.��i. ocloJe}
on reverse
e Side, and know the same to he true and c 1. All provision, nt laws anJ this
type ofwork will he complied with wheytt speed hereto o
othe wanting of .i y� governing
Press..
to give authority t violate o cel the provisions 01 any other state 01 local Imo 10001.. i..l,OLtirin ,ri hip
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
011 NAII,REr,I,Ivil1C„NIaLHavi
�
OATE OF APPLIOA 1105 Q
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DAT
FEES COLLECTED
S' gl
Builder/
Plumbing
Mech. %r 0D
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL S /r OD