1981, 02-05 Permit G80B-4318 InspectINSPECTION RECORD
>i
OWNER LOCATION
CONTRACTOR TYPE OF WORK
ail S E W
SET BACKS
FINAL INSPECTION:
DATE REM; :
2- 5-- t'/
1 et42 ere(
7 NUMBER
APPLICATION7PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Ell JEFFEASON / SPOKANE, WASHINGTON SOZSO / (SOW nERSEde
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
PERMIT NUMBER
�f �o—dfjlq,
dotria0ORESS1. / G
d▪ LA ISOB b ISION
2 4a „il f
a SO�WWNER ONE
pry w� )1,1 x /- 7-7”-390
2N/5 eNE�sov gyerefTwH
ryLaD, /feco.tiit G r
IPR'os� r
DESIGNER
6. ADDRESS
CHANGE OF USE FROM ITO
a
TYPE
7. OF
WORK
V420 d
PHONE
ZIP
❑ NEW ❑ ALT. ❑❑qp �PPL. 0 rave.
❑ EIUg. ❑ lLMB. Itl MOOR. ❑ M.N. 0 POOL
0 OTHER
Vifgo/
AN%-t975
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
/Wail SN!.I'• In Foe.
I
Noon Soutn • igen
Zone Glassine..
51r• of Parcel
Type Conn.
Valuation
Met, Floor
o0Yanv l
'Wean
Sprinkler.
❑vas 0No 0 R.,
Building Area In Se. Ft.
Upper Floors f Gm. Area
Area of Docks
FInIMee Bawmant
Store.
Unlln. Bawment
No. 'Wm I No. StwN. No. Rooms INe. 01 Ow.Mnoa
CERTIFICATE Rona. Re d. Plot R.'d.
of EXEMPTION
0.
DREG nit WORN Pam. --
✓ U I N !OUO'CE 0Aa� ELECTRIC WATER
UTILITIES ✓
SEWER
Enum, Dial,
Ownannlp
Location IArea1
Public 0 ',Note 0
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTII.r" provisions Included
on averse side, and know the same to be Rue and correct. All provisions of laws and onrlma,i,,e governing this
type of work will be compiled with whether specllii:it herein or not. the granting of .1 In., mil does non presume
to give authority to violate or eencel the provisions ul any other stern or local law regul tom construction or the
performance o1 construction. SEE REVERSE SIDE FOR REQUIRED I IONS .�, PG SDt/by
DATE OF APPLICATION /dLGr�0 SIGNATUHL 01 APPLI
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME GATE ata�
ipimaimpoppeoproge'„ : ..'Alt bete i
!I mmo
lo. Engineer
11tiIIW
1, OM IYml9O
gel /"�.
3r /1'
FEES COLLECTED
Single S
Building
Plumbing
Meth.
Plan Omit
IEPA
Mobile Horne
Omer 16PNIN1
,q EO
TOTAL $
04• •1200
•12o0 JC
•i200ty
A •880
431.7i
12.-01-80
S 647