1980, 09-24 Permit 80B-0694 InspectOESIONER
ADDRESS
Norn
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH BCn JEFFERSON r SPOKANE. wASHINOTON.2. / 1609I e66.76
APPLICANT: COMPLFTF NU1I[3L HED SPACES — PHESS HAHU 10 MAKE 3 COPIES
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/. ,3(o rb�3 - c21 I
Actual Set B.¢: eol
�oPth
SNP of Parcel
TypO Corr..
Ouupsno
ass Iwep
zone CawneatIon
PHONE
Velu Pon
Swinklerae
Ovee Ono ❑ Rep,
Bu tarp Area In 59.
CHANO[ Oa V!E ',ROM
IP
eln Flow
upper FIORs
TO
Area of Op
opeMemenl I unto. aaeamenl
No. SCRIP. I No. Room, No. of owelliner
. q l
TVK mow LN AST. 0 AWN. 0 RPL. 0 MVE
i.OF ❑OT
DRIP L.D. 0 PLMe. 0 MECH. 0 M.H. O rooL
o. Mainz
CERTIFICAT
E IJI qp'E
of EXEMPTION
num. DIR. LowtIon (A.M)
Op • 1wnermr/ USE CODE
I hereby Certify that I have lead and eeanNnad HIP ,Ir.Phr..l , �„ ., ,,,, ,,.r<I 0. • 'I'I ..
siM nt I rI n. w�.wn� mpithls
type olr work fed
end know the scow lobe (rue .r .. , Ali I,I„v,... ms nr Iu.+. .�,,., �� .5iiot nine 11ns
t0 9NR audloolyll M complied rwith w.e S,ol Inv of tin OC,lI .0.., ",„ , ., is Sur rI as nn
to , violateo0r cancel E SEprovision,101,r'I IA other D .• nP Cnl t, ,h.i.,., ', n, Ilrul:llOnnr� VIh✓
perlormalfca of Construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /J (/n/
DATE OF APPLY. G rJlSo.Sn:rv.. I,.,.:I Ii, nNI lrli/!/Ab�Y// g
ATION
V1CIAL1''PPROVALS •••••••••
jag
NAME DATE
Inv. Health
1A
•
.e. Engel•
•
refer
FEES COLLECTED
Single !
BuiWlrg It '
Plumbing
Mehl.
Plan Check
SEPA
Mobile 10oso
Ocher ISeec.lvl
TOTAL !
IT NUMBER
•.3GO
09-23-B0
6479.
cite)
INSPECTION RECORD
OWN
LOCATION
CONTRACTOR
NSE w
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS: