1980, 08-19 Permit 80-8633 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET BACKS
DATE
TYPE OF WORK
FINAL INSPECTION:
REMARKS:
64,0
C,Q9 61. -�
a L.1
01/416 ivAD
'�R=.I�I�MEERi
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 09200 / 16091 06110e76
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
ER MIT NUMBER, •
e :GGREss
�irDsn" c/ul,e _sn'
2. 4..
a Tin. awe.-
AOORESS
/OD7 5 ,-.ngcr Zoe
CONTRACTOR
BBic BC.AL C
6+l ADDRESS •
DEr 46 �i�Y
DESIGNER
6' AOORMS
CHANGE OF USE FROM
TVPE �Nny
gt., OF RN ID/mo,
WO
9zF Desk,
PHONE
iGG—a.sa
ZIP
'Meat
PHONE
ZIP
❑ ALT. ❑ AO'N.PL O MVE.
❑ run% 0 MECH. 0 POOL
0 OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/ '/Nere Sp 79.vn'iT A'N
yFtJtcE c Zer.v4 A Pata' 6PPT LS
\$orr Z E Z I%. NLT O. Aw M..N AA
Actual Set Barka In F.N
florin SS' knurl, /O2 IE.. v5 Iw.rt Ss'
Sim o1 Peron
IRREGGug,e_
Type Consl I Orcup.ncy f SPNnkleroa
11 Il ❑Yes Ono ❑ w
el�y OLQ
Upper FlPars
C
Zane Clesslllcallon
/QQe/cat-ruegL
Bandn.zaa. FLZZZ
Garage Are.
:yz
s`y30 r F'Inlm.a eaa.ment
Daka
Storage
OW In. Basement
/Y3o
S.tn. I NO9`arHa I rvo3Rao50 NP. oI waning.
CERTIFICATE
of EXEMPTION
DESCRIBE WORM
e .vrOr!""/w I
OAS ELECTRIC wnrER,•MSEINER
`L./PCyh UTIETIEs'�Arw•N—
c_—C
REK/:O F %9p eF fi R
Enam. Dial.
a Public 0Private ll
Location (Arm)
USE CODE
I hereby certify that I have read and examined this application anti have read the "NOTICE" provisions included
reverseon side, and know the Same to be Ue and ca pact. Ail pl0vlsiuns UI laws .ii iil tkslinanceg governing this
type of IN
work will be complied with whether specified herein of The ylanting ill n perinil does not presume
t0 give authority to violate ar cancel the provisions of any other atata or local law ieguleling construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIOyMf C��'/f `L„ ,a
•
DATE OF APPLICATION �+ �"F SIGNATURE Or APPLICANT G['}�jrI1`'/j%C'/_____
11PCCIAL APPROVALS SPECIAL CONDITIONS: Gfm'o60 at 9g
NAME DATE
Eiao� g/S
O. neer
within
C/IEC CON re.... cr., Ea 838-LVS/
/
b t1 1,10-r TO
U A6prL.Pozalsil
6041J OKNIth KatiV I'
TWA 4,110,9 anI45. NOV. Mole, -ro:,,
et. NM KI 61
FEES COLLECTED
S'ngI SS "'/
Building "..'°
Plumbing
Meeh.
Pon Cheek
SEPA
Mobile Home
Other 180e00
TOTAL 53�-EYl
02* .:35g,00'
•35'8.00
•358006
E .,000.:1
8632R
0 8=1'51L'8,0
1‘47,q:L 4.
WHENMALNINE VALIDA r ER IN THIS SPACE.