1980, 11-20 Permit P80B-3836 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
AN NUMB
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 99360 / ISo9) 46e-3676
V '. JOB ADDRESS
1.
2
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AODIIF
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Qf6 I CD(.0-.0
o € •R707
DESIGNER
ADDRESS
CHANGE OP USE PROM
D,
ITO
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
BLUCta'75UbUIVI51Va i4 WI, A% Vll„iN
ONE P4 7./6v3
Z19gaa
PHONE
� //70
PHONE
ZIP
TVPE 0 NEW 0 ALT. 0 AD'N. ❑ RPL D MVE.
]. OP WORK D SILO .PCMB. O MECH. 0 M.N. 0 POOL
DESCRIBE WORK
D OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PA'CEL NUMBER/s9
33-.25-c4i
Actual Set Mobs In Fuel
!South
E.. IWert
u1 of Stammton. Clssslllutlon
Tyne Cann. sprmklNea
Dvu DNo D Rae'0.
elusion Bull0lnp Area1n56.Ft.
mein Floor I V0ear Floors 0araa.Area Sltrea.
Size
Area 01 Docks
Oeeupanry
FORM. B.a.m.n(
unim. Bauman!
No. B.tn. I No. Stottsil
No. Roma INo. of Dw.IIIngs
Rae, Fiol R.q'T.
CERTIFICATE
of EXEMPTION
Enum. Dln.
VALUATION
9.
SOURCE
ES UTILITI
OAS
E ECTRI
WATER
SEWER
Own.ranlP
Location (AN.)
USE CODE
Public 0 Private 0
I hereby ces lily that I have read and emamined this application and nave read the "NOTICE" Innvisions included
on reverse side. and know the same to be Hue and Correct. All provisions of laws aml mlhnllnees governing tins
type of work will be complied with whether specified herein or inn the granting of a pmatil does not presume
to give authority to violate or cancel the provisions of any other ,la a 01 local law reptilian.' an n .' rntrucbnn or the
performance of construction. SEE REVERSE SIDE FOR REQUIREDINSPECTIONS
rrn 1 E nF APPLICATION SIGMA I OlE 01 A1.1'I.ICAN I --.
SPECIAL APPROVALS
NAME DATE
:•.�BY. HNIIM W.. ^- .
f11. Me1Nn11
o. Eneln.er
Plans Eaaminer
SPECIAL CONDITIONS:
FEES COLLECTED
E'AN $
Building
1a0
Plumbing
Mech.
Plen Check
SEPA
Mobile Homo
Other ISPeo11y)—3�
TOTAL $ v
P
ERNIIT NUMBER 1
_ l ll�r Ic s1W1,/
* •300
•300
•300 4
•000 0
11-17-80
3 6479.