1980, 06-10 Permit: 80-5574 Inspection CardOWNER
CONTRACTOR
N S E W
SET BACKS
INSPECTION RECORD
LOCATION
TYPE OF WORK
FINAL INSPECTION:
DATE REMARI(;�•
13 ir 641C24/14-
PLR: NUMILE.11
APPLICATION /PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 00360 / 16091 4663975
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
momm
JKIR ADDRESS
LOT/ — UBO1V151,-
wooP.00 ECN�
Xe
'3rea 3
DESIGNER
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/5
ZIP
PHONE
903r) 5
PHONE
Actual Set Back. In F.
North ISOU1h
G IWat
Sl,a of Parcel I zone Classification
Type COnst. I 0«40646 sw.M «.
Dees 0Nt 0 Req. .
Valuation Bugging Area In So. Ft.
ZIP
6.
CHANGE OF USE FROM I00
ilr6' 0 ALT. 0 A0'N. 0 RPL. 0 MVE.
Z OF 0 FLO. girt... 0 MECH. 0 M.H. 0 0901.
0 OTHER
Main Floor I Upper Floors I Garage Area I Storage
Area of Deck, I FInl0,. Bauman I Untie. E,Mmant
No. Room, roe of Owalllnw
ea p I
R a e. rot R.4.
DESCRIES WORN P ,K`'
VALUAT 9 SOURCE I 5
OF
9. urumEs
No. Bath. I No. Storl.
CERTIFICATE
of EXEMPTION
tnum. cm. I Loudon (Wu/
ELECTRIC
WATER
SEWER
Ownership I USE CODE
P59114 OPrlra.. 0
I hereby certify that 1 have .sad end nKallllnHll tins. 01,1111 odd the "Nt 111 included
,�.., �t 1 rvlslons
on reverse sole, and know the s.m, In ill, nt Iowa IP I IIII rs yovelllin0 this
type of work will be contusion] with whether '!11 " "' 11111 , not Oresume
to give authority In viulall. of cancel the prnvl(i.i „ 1 . . 1 1 , '. o∎. 111111 ow nl,lrocI Ion or the
Performance Of construction. SEE REVERSE SIDE FOR HEUUIHEU INSPECTIONS ���� /��_� /�,
UAI E OF APPLICATION �_.�1 - 011,04 rIlRE OF -llI 11•ANT4 /:f^�s.c-Y.._ICIL6G:�_
SPECIAL APPROVALS SPECIAL CONDITIONS: -. ems( ,
NAME DATE / 2Likeit/
Fn. Harlin Z - ere !!
swine Z
t sect
r Fb
f /.) f1
Fire Marshall
Co. Enelnaer
FIII COLLECTED
914911 E
Building Q,..t
Plumbing 2,966
Meth.
Plen Cheek
09PA
Mobile Home
Other (Specify/
'.-�
TOTAL SieCdd —
—�
IPSIMIT NUMBER
D� �7 Y
031 •2800
=2800 F
•28008
*000 8
55731
06 -1080
1 6477.
e
WHEN MACHINE VALIDATED IN THIS SPACE.