1980, 11-17 Permit 80B-3450 Inspect ',FLAN NUMBER PERMIT NUMB ER
APPLICATION/PERMIT
SPOKANE COUNTY—BUILDING CODES DEPARTMENT NK(y'
oRTH all JEPPERsory d seoxArvE,WASHINGTON 99260 d lBosl.aeaete f"'
APPLICANT: COMPLETE NUMBERED SPACIES—PRESS HARD TO MAKE 3 COPII-C
aoa ADDRESS //�� // /// LEGAL DESCRIPTION—SEE ATTACHED ` •5 Q 0 0
I, of OL SUBDIVISION U.FC// 64r e7-�//2 F� .51100
LOT LUCK S PARCEL NUMBERS y9S.T2—/9Dy
Y. •50006
L PHONE
s/�'0.2- sEk- A cks inF C U
3. usTy �/� emoo ����
DRESS Actual
. 4-42 eC,9L.Ty61aL/2r 7 a Is..4-/ 2G/ lwe
pp��+ n/� { 1 1-03-80
riekkeee
0. C�Oe� CS.eLLSr fr9:2 —/SS7 sl:.pr con,t o<cuP.ncr zo/e eNI-F.4d,.1�.,.11 _ 6479.
2IP Typo.�' IBox(53,8 990.27 Over ❑S e ❑nee•a.
DESIGNER PHONE �(on 06 Bullaing Area In Sp.Ft.
6' ADDRESS IIP �i f.11 Floor I Upper Floor, 74 A./ Storage
CHANGE OF USE FROM TO Area of Doc. I FlnlmeC easement Unfln.Bawmant
TV.. $NEW 0 ALT. ❑AD'N. 0 RPL. ❑MYE D I No.Stories Na.Rppme I.Rooms Of Dw.11mg.
T.
. ❑OTHER
/{WORK BLO. 0 ELME. 0 MECH. 0 M.N. 0 POOL No CERTIFICATE R 'a. Re a. FJot Rep'a.
of EXEMPTION I x
DIt1CRI5S WO N Enum.O . Lpoatlon IATM)
& OLE r,.G GA/CA 6E -4'+ FEES COLLECTED
VALUATION SOURCE I OAS ELECTRIC WATERR S SEWER MP USE CODE
B. OTIES Public El PrIvata Single 8
I hereby eertily that I have lead and examined niu1 application and have read the"NOT II'f"ill WISH:PIS included
on reverseaide,and know the s e 10 be titre:nrl enlrecl.All Irrnvlsions of laws a d
Aticiances governing this Building ���
type of work will be complied with whether specified herein nl lot.The gtanting.0 n it does not presume
to give authority to violate or cancel the SE SIDE s of any whet state nl local law mefititect construction nr the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS/y//� ///JJJ Plumbing
DATE OF APPLICATION //-3—0 O _Sil,,llnl in All I ICAN 4—e.S<(Q'bt. _ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
OATS Plan Check
h
,on. If/7 / /,�VV bIPA
P.a Mer,hall //I(///� // Mobile Name
Co Engineer F.
�/ Other(Specify)
TOTAL S
Dins Fxamleer
INSPECTION RECORD
ADDRESS /5-7 F;LP
DATE REMARKS -�
/e t, <,4/ s-e,
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