1980, 11-17 Permit 80B-3116 InspectnulRs
JOG ADDRESS
x b
4.
VDRESS
DESIGNER
6' ADDRESS
i 4 17..titaGL
TRACT�t
AirNL
ER I ///3/£ry
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH .11 JEFFERSON / SPOKANE, WASHINGTON 99260 / 16091466-362S
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
PHONE
928-5�63
ZIP
94z/6
PHONE
ZIP
LEGAL DESCRIPTION —SEE ATTACHED
PARCEL N0M0EIUS /3-s03 —
A.n7G t3d./(1
/4ALVGJZS1,,t/ ACK.5 50C3
Actual Set slicks In Fast I 3/ .S
North 41/ Isaelhto `Fail J Lett 1/j
zon, cpuln anon
ErR7X/
Tem. Cann.
CHANGE OF USE FROM
TO
PHONE
ZIP
SOrinmerea
❑yes ❑ o ❑ Reo W.
Su talnp Area In Sq. Ft.
7z
Mein Floor I UPP.r Flaa s f D.r.p. Ar.9
Six
Area of Dee.
Plnlrh.p EMOMent
TYPE fa NEW 0 ALT.
i. wonK 10 OLD. 0 PLMS.
❑ AWN. 0 RPL. 0 MVE.
❑ MECH. ❑ M.H. 0 POOL
❑ OTHER
No. Dahl
No. SIMI.s
CERTIFICATE
of EXEMPTION
a .ram AL ATl lNlll SOURCE
B. 34 3z UTILITIES
GAS C
SEWER
Eno., DIU.
Ownershlo
Location (ArNI
Public 0 Private IA
USE CODE
I hereby certlly that 1 have read and examined this appin:.nun all,l hope read the "NI1 i I1.1.'• provisions Included
on reverse Sid., and know the same In he Irue and correct. 411 Imo,
I s uos of laws and nnhnances governing this
or ty00 of work will be a mplied with whether spemlted henl n , I he slanting nl .I n does not presume
to give authority to violate or cancel the prou,s1nns of any Mho, Hanle or local law Ieglll.arinn construction or the
performance of constnlction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS ,,..II teNa.^.
`IGNATVIII •n .II`IILAN1���`�^'^' W- I/!
DATE Of nPPLI0n IION100 2S-80
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
No. Rooms
/
Mar..
Unfln_BaHm.n1
No. of Dw•Illnp.
•cd. of ROW.
FEES COLLECTED
SI gt $
Seeding 'T'I�
Plumbing
Plan Check
BEPA
Mobil. Home
Other ISpeclyll(
TOTAL S /%'J�F�6
E3-3/!b
0T.
311.58
11-03'80
2 auw
.uao
.aaoo` E
•Da003t
•000 a
f
DISPECTION RECORD
ADDRiSS
DATE REMARKS (4'70 6l ,
/4- rit7ryS
44(0