1980, 08-14 Permit 80-8141 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
/ 7
"..4 iJ OCri,07 6/' fits 4.074 accs7)
N gMBEN
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON a9260 / (SOW.66]e)6
APPLICANT: COMPLETE NU) BE}i 1SPAC ES — PRESS F1ARD TO MAKE 3 COPIES
f JOB ADDR?EESS��
1`i? 11[BCN 131E la 7/ /IC
2 l
((11 A DRESS
r �Qisti� / AJ.AFF.aLQ(il3L1E�
O TRACTOR
Odi
A DRESS
A �L
DESIGNER
al ADORCSS
PHONE
4z2-;d.5G 7
ZIP
PHONE
ortn !South \ HI IWest
ONE 51ze of Farce l Zone Classification
LEGAL DESCRIPTION — SEE
LNUMBER/
ATTACHED
ZIP
Actual Set Backs In Feel
TY Pe Conti.
PHONE Valuation
Occupancy SprrnklenO
1
Oyu EINa ❑ Aeq'p
HUIl01rN Araa in Sq. Ft.
ZIP
Mein Floor
UPOer Flows
Guam Are
Storage
CHANGE OF USE FROM
a
TO
Ara al Oscks
illOn
nlln. Basement
TVPE 0 NEW 0 ALT. 0 AWN. 0 RPL 0 WE.
7. OF ❑ CLO, ❑ PLMB. IwS11
eN WORN MECH. 0 M.N. 0 POOL
1/nf/ry�jCRIBE W(IR
°/--
ALU T
V A TILITICS
0 OTHER
Na. Bath
No. Stories
No. Rooms INC. of Dwellings
CERTIFICATE
of EXEMPTION
Enum, Dist. Loullon IA,..)
6 ELECT0.IC WAT R SEWER pwnarrnlp USH COOL
Public OPrlyate O
I hereby certify that 1 have road and examined this application and have lead me "NOTICE" ,.uvrsinns Included
on reverse side, end know the same to be nun and u0rruct. All pl°visions of law. and uluuwnueS governing this
type of work will bt culnphed with whether spaclllad herein or not, 1 he granting of a pennll hoes not presume
to give authority 10 viulota Or aenpd Old p100110M of any olhar alma rn level law I.OUlaling CUn1NUC11011 GI the
performance of aonstruotion. BEE REVERSE SIDE FOR REQUIRED INSPECTIONS �/LJ/`/
DATE OF APPLICATION A"S RS SIONATll12k OF APPLICANT if C(
wICIAL APPROVALS
NAME DATE
Env. Health
3lannin.
Flre 0anhall
SPECIAL CONOITIOWI
FEES COLLECTED
Sl gl
Building
Plumbing
Mech. 7 OD
Pen Cheek
HEPA
Mobil. Horne
Omer (Specilyl
0
TOTAL
PERMIT NUMBER
KO—S.i 4L/
14• .7.00
•700 0
07003E
•000 8
8140P
08-05-80
B 6479:
WHEN MACHINE VALIDATED IN THIS SPACE,
*lit)