1980, 10-16 Permit: 80-6244 Inspect 1
INSPECTION RECORD
OWNER 1-:OCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
_ _ _
pLwNNUM.ER APPLICATION/PERMIT t PERMITvNOM
SPOKANE COUNTY—BUILDING CODES DEPARTMENT ""`BER
'
NORTH ell JEFFERSON/SPOKANE,WASHINGTON 19250/10001 400-3075 s
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS �7 ufe LEGAL DESCRIPTION—SEE ATTACHED
' LOT BLD i�IIIOIVISIDN PARCEL NI/MUER/0
2 •
ER .
a 74,HpI...-,t. 2,/ese..�ee�e.L. Y-fAs�j •7.00
��jD•ORFcc CIP Actual Sat Backs In Feet {7.0 0 Gi
CONTRACTOR/// /7ELe'/ 9P. Norlh site! Muth I sat liNest
�Q t—A �'j/_�� Y20545 50.0S4 P 200.Classification I0O 9 .0*7008
III 77Z 7,0• ...q.,.1�2... •
ZIP
Fes..c ort. I D Oyes ONo kNa Reed. (3211.5R
0004GNER PHONE valuation Em1.In9 Ar„In Sq.Ft. 06-20.80
6' wODREY ZIP Mein Floor UPPar MOON O.r.Oa Ar„ SteNS. e 61179
•
LwANGR OF USE PROM ITO AME ofPIn84101.01d la .0l I Unlin.E...m.n<
e. D«xa IM
Tv."' Ci 51W ❑ALT. ❑AD'S. ❑RPL 0 MVE. No..1110 No.SIGN„ No.Rooms Na.of 0051104.
], OF 0 OTHER
WORN ❑OLD. 0 PLME.\ IECN. ❑M.H. ❑POOL CERTIFICATEI we0'e. I AMM. OJet Awed.
a/EXEMPTION
8 AiLY
tE.um. s. ILa„tleniAr„I FEES COLLECTED
V=ON SOURCE OA I ELECTRIC WATER SEWER Oweershks USE CODE
P. UTILITIES Public 13 prime❑ _
I hereby certify that I have read and examined this application arid lr...e teed the"NOTICE" -' Single
on reverse side.and know Me a me o bon e anJ c Irl ovrsrons included '
act.All pi...-..ons laws and ordinances governing his EUIl01no
FIRS of work will be complied with whether uspecified Icer r r e orantirrg of.r ne rnai does not preu
rne
to glee.Uth ority to violate or cancel the provisions of a,other A_ n Inca!law regulation c nshuctron or the
pErtorMance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Mumble!
DATE OF APPLICATION 6 2.)• ° SIGNAI:I P.E :cPPLIL�1Nt�Ide*//,J Mesh. 7 4tidr
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME GATE Plan Chock
tor.neahh
w.nnlna FOR GAS APPLIANCES sEPA I
Fl..M...n.n PIPE LENGTHS Mobil.Hama
.,0,,,,.„.., PIPE SIZES Other lSn«INI •
K" —= . BILIS f
�,. TOTAL 5_1_ e__ .. mss
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