1980, 11-17 Permit G80B-3785 InspectLAN NuMBER
iJOB ADDRESS
LOT
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH BII JEFFERSON / SPOICANE, WASHINGTON POMO / MOP/ .16.076
APPLICANT: COMPLETE NUMBERED SPACES - PRESSI-1,81, TO MAKE 3 COPIFS
LEGAL DESCRIPTION - SEE ATTACHED
ELOCR
1.11301VISIO
MITA radiMt9
"Tr
k A:7.74'6
ZZg'- 191-3
PHO E
ZIP
PARCEL NuenBER/S
/MUNI Sol Bk acs In Feet
"Mb ISOulh tEas) lkost
Xone
Size al Percei
Type Conn.
DESIGNER
5' ADDRESS
PHONE
Veluallen
06*009090
[
sprInkiered
Over Ono 05.53.
wriebee Arw in 54. ,
CHANGE°, U,,;,B FROM
TO
ZIP
r". VOIEW 0 ALT. 0 AyN. 0 API.. 0 MVE.
0 OTHER
7. OF
WORK BLO. 0 PLOW, WS:mot, 0 M.N. 0 POOL
DESZ141/14r ortv.riesil.5( 6.-700
UTILITIES ELECTRld [Jr WATER/ VALUATION SOLaCE GXE SEWER
main Pwor upow PH.. ONefle Am.
Area ol Deck. I Finished OMIT.
Slorme
EIMITHItt
No. Baths I No. Stories No. Rooms [No. of °wellies.
eryo. I Ave P. r., Rep3.
CERTIFICATE
of EXEMPTION
Mint. DIM
ownenblo
Lobe Ion I teN
Public °Private 0
USE CODE
I hereby cernly 11,11 lII000l100lllllllIto Mtn! toui .11,“ u•o•• •ctil Ihu • • •••.! ,,,,, mei utIcil
ON YOGI. ,,do, and know 1110 some tO 110 111101101 .0 ••• Ilo',enont)
type ol woik WIII be compiled with wile:11er ,pe: .11:n1 1.:•:1.:nr. moo°, blu 1/111IIIIII)
performance ol ronstrriettim. SEE REVERSE SIDE F014 110.1111RM) INSPECTIONS
lo glee obtbreity 10 VIUMIC Pt 1,11iCel nitwoonn ni rI:irn 1,:o one.: • ..11111.:i14,11 1.11(9)...
"All OF APPLICA HON __Az:47/rd ,1.14/1111111 Pt
SPECIAL APPROVALS SPECIAL CONDITIONS:
sus .Hielili
NAmw:
NAME DATE
e,
Net Examines
SEPA Checklist
FEES COLLECTED
ol S
Building
Plumbles
Mesh.
Nen Ch k
1111PA
Mobile Home
Other ISP•WIY)
TOTAL S
04* *2200
.2200
* 2 2Ip 0.674/1
• 0 0
11-17-80
2 6479.
WHEN MACHINE VALIDAT 0 IN THIS SPACE.
THIS BECOMES A PERMIT.
OWN
INSPECTION RECORD
LOCATION
Sao �-
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: t /7-SSA / /'
DATE
/1-17 .QD`J � ' /es / �
i/e (2
REMARKS: