1980, 06-19 Permit: 80-1040 Inspect a
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK
NSEW FINAL INSPECTION:
SET BACKS
DATE ' REMARKS:
-79" -----Vd/6'6)/".1A 7 7:e./7/.... ,"
/ -g
_ : f
T
PLAN NUMBER °"'[R
r 9 t0 •
SPOKANE COUNTY—'BUILDING CODES DEPARTMENT
NORTH Oil JEFFERSON/SPOKANE WASHINGTON 09260/1509)456-3675 DATE z-"I-`O
""4".'"."- APPLICANT' COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES '
. •9.00
t IDB-ADD!IE55 II-P-1 36{= LEGAL DESCRIPTION—SEE ATTACHED •9.00 R
' LO! BLOCK ISUBDIVISION PARCEL NUMBER/S •9.005
t 2. 11 PHONE E •000 8
OWNER
•
3. Sp 1.67" Xl 'oim Required Set BB Nr In Fmt 1 0 3 91!
ADDRESS {1x ZIP 5
R 02-11—BO
X II�yI 3co— Se• IBRYh I et IWSB
CONTRACTOR ON[ Slap al Parcel ten.Clese Ilutlen � 6479.
0....0-42-,.....42-e/ l-LA-.I,..,�t 1— 93-8-Aa5a-
• +' ADDRESS Z Type Conal. Occupancy Sprinkorell
£ 930•', r/1.1.6 coTOyes Oreo ❑Peg's.
DESIGNER PHONE 'f' Valuation Building Area In 6g.Fl.
B• ADDRESS ZIP owL Area 1emsment Are. Surma ihrl Stora.
CHANGE OF USE FROM TO Split Entry Spill Level ..ocher
e' No.Baur No.Floor No.Room. Roc.Room ((p:
7. OF N� ALT. ❑AD'N. RPL. ❑MVS. OTHE0. Reo p. 1.
WORK O BLD. ❑PLM.. V MEC. ❑M.H. ❑PoOL CERTIFICATE Recd. rot Rw'd.
of EXEMPTION
DESCRIBE WORKa y��^Q�`'� FEES COLLECTED \ "`
VALUATIONS Source �Q LECT RIC WATER SEWER
9. Ute1110 'x xSingle $
I hereby certily that I have read and examined this application and have read the"NOTICE"N uv slonv included
reverseon
aide,and know the su
e to bet and correct.All provisions of laws and uldinauces 90000ing thii 6ullpin9
type ofwork will be complied with whether specilied herein or not.The granting of a perinil does not presume - _
to give authnrdy to violate nr cancel the provisions of any other state of local law!outdating construction or the Plumbing
performance of constiucttion. ._
DATE_ 'L-=�—'err SIGNATURE '1 I/c 0-4 0 /2/11 Mesh. 9 Cr/1 •.
SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check `
OEPT. RED'0. RECD.
Env.HNllh _
SEPA
N ammm9 .-
Mobile Hone
P ee Marshall ...._ _.—
Co.Engineer Other iSo.oifyl _
Mimi. TOTAL $ / U v .-.'®