1980, 10-06 Permit M80B-1470 InspectNNUMBER
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tOf e
BLOCK !VISION
2
3 L' 12 5 f6• // s. ta)
UnE55
CONTRACTOR "[ WOG [r 7 /E%cL
A' nonFss
/ L.
DESIGNER
APPLICAT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 1311 JEFFER0ON J SPOKANE, WASNINOTON 99160 J 1E09) a0909T8
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
PHONE
4,2T•33Fo
0I4'
PHONE
9:76 'Flab
ZIP
99.z/L
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMEERJS
dual sat Bar I. In FaM
North 59u1h EZana CNNllleallon
Sire of Parcel
Type Conn.
Iwert
Dccu9anN [
Sprinkler.
❑EO ONO
Bulldln9 Area In Sp. Ft.
.ADDRESS
ZIP
Mein Freer Doper Flour, Gareg*Area
CHANGE OF USE FROM
,TO
R. 1
•
J TYPE' O NEW . 0 ALT. 0 AO'N. 0 RPL, D ray. O OTHER
WORN 0 BLD. 0 PLMO. 0 MECH. 0 M.N. ❑ POOL
DESCRIBE WORT( Enum. ONr. !.Mien (ANM
e.4.4
4
�e(04 Felt NO eTEL< %uwa.r F' H..rr /i,.p
V- ON SOURCE I OAS ELECTRIC WATEn SEWEn .,rmy USE CODE
. id
UTILOITIES Iueil.O Privets D
I hereby cortlty that I have road and examined this application and hav0 ramLllra "NOTICE" provisions Included
on reverse side, and know the same to be true end correct. Ali provisions o1 laws and ordinances governing Ells
typo of work will be complied with whother specified heroin of ADt. T+m granthiq of a pennll does not presume
to give authority to violate or cancel the provhlono DI any tenor stale Ur local law gulotbeg construction or the
perfurmence of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
NS
DATE OP APPLICATION_z0 2 .gg ;If:NATURE OF APPLICANTS v
SPECIAL APPROVALS
NAME PATE
1fS . Engineer
C 1
e MN.halr
teller
SPECIAL CONDITIONS:
Area of Deal. 'I Moaned °neem.
Na. Ballis
No. Stories I No. Ramsr
TE I/IR.N. I
Unlln. Bannon,
No, of Owelllnn
CERTIFICA
rived. 01ol Reg,of EXEMPTION
FEES COLLECTED
Single S
Building
Plumbing
Meeh. 3s=P
Da.cf '4'0
A,r. oc c..ri
Pion Check
SEPA
Mobil. Hem
Olhcr ISpecilyl
TOTAL $'3 •dam
WNEN MACIIINE VALIDAI
P%
PERMITNTB�ii --_-
Qra43-14i7d
04* *1300
•130
•130 U
A *000 0
1469@
10-06-60
3 6479,
D IN NHS SPACE,
1Isin7
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS: