1980, 05-02 Permit: M79-8678 Inspection CardINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
C 4 E, cc -- I�! bT i $,rSCRe..c. et W I c. t. CmKC
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(PLAN NUMBER
APPLICATIOR; PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH SI I JEFFERSON / SPOKANE, WASHINGTON 99260 / 16091 46E3676
APPLICANT COMPLETE NUMBERED SPACES PRESS HARD TO MAKE 4 COPIES
JOB ADORES p
2. O
I. `t
T I B S
LOCIt ISUUIVISION
3. }� .e Mi ' Lf L
o rig Abr
L�y¢,f -fear
4. 01/2 .!
ADDRESS
v b4JZ-
DESIGNER
6
PHONE
ZIP
99.2oG
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBERJS
Required Set Bar In Feet
Nortn I ddtn
Size of Parcel
Dl.eellipee.t
ZIP
Type Coast. Oct...
PHONE
Valuation
Dues 00* kl0 R
Bulkilns Area M Sq. Fto d
ADDRESS
ZIP
Garage A
St rage
CHANGE OP USE PROM
TO
eel It E
Spill Level
0•ncher
TYPE
7 0 0 NEw 0 ALT. 0AO'N. 0 RPL 0 MVE. 0 OTHER
woox 0 OLD. 0 PLMe. P(MECH. 0 M.N. 0 POOL
No. Berns
o. Floors
No. Rooms
Roc. RoOM
CERTIFICATE
of EXEMPTION
Req.. Rac d, et Reo'd.
O n
a �Q
VALUATION
9.
ELECTRIC JP/ 4124 134 P+
OAS
ATER
SEWER
I hereby Lenity that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true anti count All provisions of laws and mdiinlllces governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulaHOy construction or the
performance of construction. I/ /y1
DATE L ^' - 7 / SIGNAtURE '.'. 1.4 NJ `LtN1tA
SPECIAL APPROVALS
Dr. DEPT. REQ'D.
Planning
PIN Merellell
Co Engineer
.l
Zone Clearance
SEPA Checklist
SPECIAL CCOOND, `
ImTIO -- - I — —
V 11,1-Foe."
,c•
DATE
FEES COLLECTED
Single S
Sodding
Plumbing
Mech. i 7 Lr
Plan Check
SEPA
Mobil H
Other ISO.Olfyl
TOTAL E 7�
E6M � N-818
DATE �.i -�% -.77 —
0U+
+7.00
*7.00 9
867.72
12 -04 -79
2 6479.
WHEN MACHINE VAL IDA I ED IN THIS SI`at:E.
THIS BECOMES -o 6- 7LeMrl 867.az
llrra� �l
X7.000