1980, 09-26 Permit: 80B-288 Inspect �,. .
U INSPECTION RECORD
LOCATION
OWN
CONTRACTOR TYPE OF WORK
KS w F{NAL INSPECTION:
DATE R /'KS: j
42‘ , _ , / =e-��
„R
PLAN NUNDEll APPLICATION7PERMIT -- --PERMIT NUMBER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT M I E30II-2.SQ p ..”
. ..
NORTH 511 JEFFERSON/SPOKANE,WASHINGTON gene/IeOot eoo-eong
APPLICANT: COMPLETE NUMBERED SPACES -PRESS RARO TO MAKE 3 COPIES
JR ADDRESs ,/ G 74 LEGAL DESCRIPTION—SEE ATTACHED1. a7
YRT BLOCK SUBDIVISION PARCEL NuraBERrs e 7 0 0 L
2
a 0WHER la.1-3787 ,000 E
ADDRESS ZIP Actual Sat
Backs In Feet
North
'South
Ez 'Wart
09-16—
AO
cr 4AcrOR - PH _5'f7o .of Posed ons auRnmmnL. 6479
4. Type Const. Occupancy Sprinkler.
&p ]9ao7 Over D Rao,.
DESIGNER
PHONE Valuation BU lalnq Arm In So.FI.
I E. ADDRESS ZIP Me n F oor II per Plgore Are storage
1,,N,
CMANOR OF Uel PROM TO '" of Deck.OP I Flnlehed B,Mment I.Inlln.S.Nm.nl
Q
Ng
TYPE ❑NEW ❑ALT. ❑PON. ❑RPL. ❑MVS.
...m. Stop. No.RooNo.of OWNER.,
T• WORK ❑BLD. 0 ELMS. 0 MESH. 0 M.N. ❑POOL ❑ TH
Or OTHER CERTIFICATE o. ms R R a. Rae a. Plot limed.
of EXEMPTION
ESTTR WORK ETCH. r. oc Sign Iwre,l
Q FEES COLLECTED
VALUATIONO R i SOS ELECTRIC WATER SEWER mp USE CODE //y
E. UTI IITIEs Pu ❑ H❑ Single S (—A/ '�� ��
I hereby certify that I have read and examined this appy d have 1 the NO I Otto s included / YYY/// v
On reverse side,and know the game to he hue and Correct Ali plteil,eel,DI laws JIIII 011 ill,,If kf rvr yuveln no this Building
type of work will be complied with whether Spec lied I I he oi tutting o o, of plesume
to give authority to violate Ti cancel the ploy.ons of 1,,i1 wntl
vruct on or the
performance of construction SEE
REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing '�/J
RATE OF APPLICATION . _VS C
9 5 N t I(..
it i A Ir+ MOO.R. /
°' 'kl-53
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env.Health
SEPA
Mobile Homo
.I no nun' Other ISeecily)
u•tat TOTAL 3 72%—