1980, 12-17 Permit: 80B-1887 Inspect T
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK_
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
p... " ...
'',r ION/PERMIT n.� PERMITNUMBERSPOKANE COUNTY—BUILDING CODES DEPARTMENTf/ 80� L98'� � fr,�YNORTH 011 JEFFERSON/SPOKANE,WASHINGTON 99260/15001 45&3075
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES°A sl 3C.ii4 LEGAL DESCRIPTION—SEE ATTACHED �4+ +7C71 + 0
T !LOCK 9Y IVISION PARCEL NUMNFp/31P66y
�J Zto-13-BO
pw s� "1"M N Y 2,2--831 Actual 3.1[ ks In F«t ? 6.479��' // 6 isuuo. I. Io.N
N SY.or R.rest n.Cl..dn00tDRESS ZIP Type Const. Occupancy Sprinkler.dDv.s DNo D P.e'a.
SIGNER cHON[ valuation IMlny Ar«m 9u.n.
DDRESS HIP Main Floor Opp.r Floor. 0.r«.A W I Stow..ANGE OP USE FROM TO Ar«of Der« mala M Basement Unlln,Basment
VPE W.NEW D ALT. ❑A��O'N. ❑RPL ❑DVE. NO.BNk. No.StoNu Ne,Room. Na.of Ow.lnnpr
O K O Nlq ❑PLM[.OP ®'fA[CN. ❑M.M. ❑POOL ❑OTHER CERTIFICATE [ R.a'a. I R.c e. Flet0.O'e.
of EXEMPTION
RN enum,Dlst. LoudonIOr«IFEES COLLECTED 4/1.--..."--: '
As ARES E OHS _AL ATION SOURCE DN [L6CTRIC WATER SEWlR rmlp U9!CODE
UTILITIES , Puall0 O Private Q , Sln91e S
eby certify that I have read end ekpnlined this application and 111101 reed the"NO I ICK"provisions included
on a side,and know the spine In be true and collect.All provOrons of laws 0n'I r,rdinances governing thus Building
ofr work will be complied with whether spociflad how.or not.f 110 granting of a;11.NnH does not presume .✓e authority to violate or canoe'th9 pIoLlIl0n1 of any u1119r.1.to or IOOa1 low I 1111,11114 O9nalruotlon or the
.mance of 000struati)oo,RU REVERSEQSIDDE FOR REQUIRED INSPECTIONNSS `/ �D• MWnemg
OP APPLICATION (V O 'r`� ._. c rM��
aIUI.AIUNE OI`APPLICANT Meeh'
SPECIAL Aeef1OVALS SPECIAL CONDITIONS, Plan Check
NAME DATE
,Mies.NN1111
NEPA
Antrim
rt.U.,.a.11 Mobil.HOT.
ho.EneIn«r Other ISperllyl
•
r'''''"
TOTAL S
4